NPI 1114911831

Michael Peterson, MD

Practitioner Ophthalmology Physician Missoula, MT

Practice location

Address: 700 W Kent Ave, Missoula, MT 59801-6772
Phone: (406) 541-3937
Fax: (406) 541-1810
Mailing address: 700 W Kent Ave PO Box 4907, Missoula, MT 59801-6772

Registered specialties

Ophthalmology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207W00000X Licence 6492 (MT)

Other Ophthalmology providers in Montana →

Registry record

NPI: 1114911831
Entity type: Individual
Sex (as registered): Male
NPI issued: 8 Sep 2005
Record last updated: 14 Apr 2010

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.