NPI 1053868992
Integra Imaging Ps - Mt
Practice location
- Address
- 2419 Mullan Rd D, Missoula, MT 59808-1856
- Phone
- (509) 747-4455
- Mailing address
- 801 S Stevens St, Spokane, WA 99204-2654
Authorised official
- Name
- Sarah Russell
- Title
- Coo
- Phone
- (509) 747-4455
Registered specialties
Diagnostic Radiology Physician
Primary
Registry record
- NPI
- 1053868992
- Entity type
- Organization
- NPI issued
- 8 Sep 2016
- Record last updated
- 8 Sep 2016
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.