OrganizationActive
Missoula Urology PLLC
NPI 1609064013 · Pediatric Urology Physician · Missoula, MT
Provider details
- NPI number
- 1609064013
- Entity type
- Organization
- Primary specialty
- Pediatric Urology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- William Graber, Owner(406) 543-1967
- License
- G47576 (MT)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2835 Fort Missoula Rd
Suite 201
Missoula, MT 59804-7423
Phone: (406) 543-1967
Fax: (406) 543-5379
Street-level locationGet directions
Mailing address
2835 Fort Missoula Rd
Missoula, MT 59804-7423
Registry dates
- Enumerated
- 2007-10-10
- Last updated
- 2007-10-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.