NPI 1508377490

Mathew Goodrich

Practitioner Basic Emergency Medical Technician Missoula, MT

Practice location

Address: 2827 Fort Missoula Rd, Missoula, MT 59804-7408
Phone: (406) 327-4171
Mailing address: 950 Mount Ave APT 202, Missoula, MT 59801-5662

Registered specialties

Basic Emergency Medical Technician Primary

Emergency Medical Service Providers Taxonomy 146N00000X Licence 26233 (MT)

Other Emergency Medical Technician, Basic providers in Montana →

Registry record

NPI: 1508377490
Entity type: Individual
Sex (as registered): Male
NPI issued: 18 Oct 2017
Record last updated: 18 Oct 2017

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.