NPI 1912133885

Missoula Osteopathic Clinic, PLLC

Organisation Neuromusculoskeletal Medicine & OMM Physician Missoula, MT

Practice location

Address: 341 W Pine St, Missoula, MT 59802-4119
Phone: (406) 327-0269
Fax: (406) 327-0264

Authorised official

Name: Sam a Wallace
Title: Owner/Physician
Phone: (406) 327-0269

Registered specialties (3)

Neuromusculoskeletal Medicine & OMM Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 204D00000X Licence 8667 (MT)

Other Neuromusculoskeletal Medicine & OMM providers in Montana →

Neuromusculoskeletal Medicine & OMM Physician

Allopathic & Osteopathic Physicians Taxonomy 204D00000X Licence 11754 (MT)

Neuromusculoskeletal Medicine & OMM Physician

Allopathic & Osteopathic Physicians Taxonomy 204D00000X Licence 11801 (MT)

Registry record

NPI: 1912133885
Entity type: Organization
NPI issued: 5 Jun 2009
Record last updated: 5 Jun 2009

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.