NPI 1720477953

Providence Health & Services Mt

Organisation Neurological Surgery Physician Missoula, MT

Practice location

Address: 500 W Broadway St, Missoula, MT 59802-4008
Phone: (406) 327-1918
Mailing address: PO Box 31001 - 4114, Pasadena, CA 91110-4114

Authorised official

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

Registered specialties

Neurological Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207T00000X Licence 9574 (MT)

Other Neurological Surgery providers in Montana →

Registry record

NPI: 1720477953
Entity type: Organization
NPI issued: 12 Jan 2015
Record last updated: 7 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.