NPI 1144538505
Providence Health & Services Mt
Practice location
- Address
- 500 W Broadway St Suite 320, Missoula, MT 59802-4031
- Phone
- (406) 329-5615
- Mailing address
- PO Box 31001 - 4114, Pasadena, CA 91110-4114
Authorised official
- Name
- Donald Wayne Anderson
- Title
- Assistant Secretary Enrollment
- Phone
- (425) 358-9786
Registered specialties
Cardiovascular Disease Physician
Primary
Registry record
- NPI
- 1144538505
- Entity type
- Organization
- NPI issued
- 20 Sep 2010
- Record last updated
- 6 May 2025
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.