NPI 1154562981

Providence Health & Services Mt

Organisation Pediatrics Physician Missoula, MT

Practice location

Address: 500 W Broadway St, Missoula, MT 59802-4096
Phone: (406) 327-1613
Mailing address: PO Box 31001 - 4114, Pasadena, CA 91110-4114

Authorised official

Name: Donald W Anderson
Title: Assistant Secretary Enrollment
Phone: (425) 358-9786

Registered specialties (2)

Pediatrics Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208000000X

Other Pediatrics providers in Montana →

Hospitalist Physician

Allopathic & Osteopathic Physicians Taxonomy 208M00000X

Other Hospitalist providers in Montana →

Registry record

NPI: 1154562981
Entity type: Organization
NPI issued: 6 Mar 2009
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.