NPI 1417198243
Providence Health & Services Mt
Practice location
- Address
- 500 W Broadway St 3rd Floor, Missoula, MT 59802-4096
- Phone
- (406) 327-3057
- Fax
- (406) 327-3231
- Mailing address
- PO Box 31001-4114, Pasadena, CA 91110-4114
Authorised official
- Name
- Donald Wayne Anderson
- Title
- Assistant Secretary Enrollments
- Phone
- (425) 358-9786
Registered specialties
Obstetrics & Gynecology Physician
Primary
Registry record
- NPI
- 1417198243
- Entity type
- Organization
- NPI issued
- 6 Mar 2009
- Record last updated
- 20 Jun 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.