NPI 1194540120
Basecamp Pediatrics
Practice location
- Address
- 2230 27th Ave STE 3, Missoula, MT 59804-5128
- Phone
- (406) 214-4577
- Mailing address
- 110 E Kent Ave, Missoula, MT 59801-6028
Authorised official
- Name
- Tara Patrick
- Title
- Owner, Pnp
- Phone
- (406) 240-1229
Registered specialties
Pediatrics Physician
Primary
Registry record
- NPI
- 1194540120
- Entity type
- Organization
- NPI issued
- 15 Nov 2024
- Record last updated
- 15 Nov 2024
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.