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Coty Holm — NPI 1902453855, Missoula, MT | NPI Central

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Coty Holm

NPI 1902453855 · Surgical Physician Assistant · Missoula, MT

Provider details

NPI number: 1902453855
Entity type: Individual
Primary specialty: Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Sex: Male
Sole proprietor: No
License: MED-PAC-LIC-91036 (MT)

Specialties & taxonomies

Surgical Physician AssistantPrimary363AS0400XLicense MED-PAC-LIC-91036 (MT)
Physician Assistants & Advanced Practice Nursing Providers
Student in an Organized Health Care Education/Training Program390200000X
Student, Health Care

Practice location

500 W Broadway St

Missoula, MT 59802-4008

Phone: (406) 329-5615

Approximate (ZIP-level) locationGet directions

More MT providers

Mailing address

Po Box 12

Liberty Lake, WA 99019-0012

Additional practice locations (1)

4311 11th Avenue Ne
Suite 200
Seattle, WA 98105-6367
Phone: (206) 616-4001

Registry dates

Enumerated: 2019-08-23
Last updated: 2021-05-21
Certified: 2021-05-21

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