NPI 1366185928

Providence Health & Services Mt

Organisation Anatomic Pathology & Clinical Pathology Physician Missoula, MT

Practice location

Address: 500 W Broadway St, Missoula, MT 59802-4008
Phone: (406) 329-5838
Fax: (406) 329-5676
Mailing address: PO Box 31001-4110, Pasadena, CA 91110-4110

Authorised official

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

Registered specialties (3)

Anatomic Pathology & Clinical Pathology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207ZP0102X

Other Pathology providers in Montana →

Clinical Pathology/Laboratory Medicine Physician

Allopathic & Osteopathic Physicians Taxonomy 207ZP0105X

General Acute Care Hospital

Hospitals Taxonomy 282N00000X

Other General Acute Care Hospital providers in Montana →

Registry record

NPI: 1366185928
Entity type: Organization
NPI issued: 20 Apr 2022
Record last updated: 2 Sep 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.