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Providence Health & Services Mt — NPI 1720477953, Missoula, MT | NPI Central

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NPI 1720477953

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Providence Health & Services Mt

NPI 1720477953 · Neurological Surgery Physician · Missoula, MT

Provider details

NPI number: 1720477953
Entity type: Organization
Primary specialty: Neurological Surgery PhysicianAllopathic & Osteopathic Physicians
Organization subpart: No
Authorized official: Donald Anderson, Assistant Secretary Enrollments(425) 358-9786
License: 9574 (MT)

Specialties & taxonomies

Neurological Surgery PhysicianPrimary207T00000XLicense 9574 (MT)
Allopathic & Osteopathic Physicians

Practice location

500 W Broadway St

Missoula, MT 59802-4008

Phone: (406) 327-1918

Approximate (ZIP-level) locationGet directions

More MT providers

Mailing address

Po Box 31001 - 4114

Pasadena, CA 91110-4114

Other names (DBA / former)

Doing business as: Providence Medical Group Montana
Doing business as: Providence Medical Group Montana Neurosurgical Specialists
Doing business as: Providence Medical Group Montana Neurosurgical Specialists

Registry dates

Enumerated: 2015-01-12
Last updated: 2025-05-07
Certified: 2025-05-07

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.