Whalio Doctors

NPI 1013940261

Edward Michael Mondloch, CRNA

Practitioner Certified Registered Nurse Anesthetist Missoula, MT

Practice location

Address
700 W Kent Ave, Missoula, MT 59801-6772
Phone
(406) 728-3501
Mailing address
PO Box 24251, Seattle, WA 98124-0251

Registered specialties

Certified Registered Nurse Anesthetist Primary
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367500000X Licence 11350 (MT)

Registry record

NPI
1013940261
Entity type
Individual
Sex (as registered)
Male
NPI issued
9 Jul 2006
Record last updated
3 Dec 2007

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.