Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Providence Health & Services Mt

Organization Surgery Physician · NPI 1972811768

Providence Health & Services Mt is a Surgery Physician in Missoula, Montana. Registered with an NPI since 2010.

In the registry since
2010
Specialties on file
3

Practice location Address checks out

500 W Broadway St
Missoula, MT 59802-4008
Phone: (406) 543-7271
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X
Vascular Surgery Physician Taxonomy 2086S0129X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician Taxonomy 208G00000X

Record details

NPI number1972811768
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationProvidence Health & Services
Authorized official Teri Masters — Rcm Operations Mgr · (406) 329-5795
Other names Pmg Mt General Surgery
NPI enumeratedSeptember 15, 2010
Last updated in NPPESJuly 22, 2011
Mailing addressPo Box 34439, Seattle, WA 98124-1439

Other providers in Missoula