NPI 1487942058

Western Montana Spine & Injury Clinic PLLC

Organisation Preferred Provider Organization Missoula, MT

Practice location

Address: 2409 Dearborn Ave Suite I, Missoula, MT 59801-7586
Phone: (406) 541-7763

Authorised official

Name: Christopher Lee Moore
Title: Owner
Phone: (406) 541-7763

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X Licence 1219 (MT)

Other Preferred Provider Organization providers in Montana →

Registry record

NPI: 1487942058
Entity type: Organization
NPI issued: 18 Jul 2011
Record last updated: 2 Aug 2012

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.