PROVIDENCE HEALTH & SERVICES MT

MISSOULA, MT
NPI1235370065
Doing Business AsPMG MT WOUND CARE
Entity TypeOrganization
Authorized ContactTERI MASTERS
Rcm Operations Mgr.
406-329-5795
Organization Subpart ?Yes
Primary Taxonomy207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism
Enumeration Date2009-03-06
Last Update Date2011-06-29
Business Address
PROVIDENCE HEALTH & SERVICES MT
500 W BROADWAY ST 1ST FLOOR
MISSOULA, MT 59802-4096
Phone number: 406-327-5734
Mailing Address
PROVIDENCE HEALTH & SERVICES MT
PO BOX 34439
SEATTLE, WA 98124-1439
Phone number: 406-327-5734