PROVIDENCE HEALTH & SERVICES MT

MISSOULA, MT
NPI1124268982
Other NamePMG MT BARIATRIC SERVICES
Entity TypeOrganization
Authorized ContactTERI MASTERS
Rcm Operations Mgr
406-329-5795
Organization Subpart ?Yes
Primary Taxonomy207RB0002X Internal Medicine, Bariatric Medicine
Enumeration Date2009-03-05
Last Update Date2011-06-30
Business Address
PROVIDENCE HEALTH & SERVICES MT
500 W BROADWAY ST 4TH FLOOR
MISSOULA, MT 59802-4096
Phone number: 406-329-5866
Mailing Address
PROVIDENCE HEALTH & SERVICES MT
PO BOX 34439
SEATTLE, WA 98124-1439
Phone number: 406-329-5866