| NPI | 1336380161 |
|---|---|
| Doing Business As | PROVIDENCE MEDICAL GROUP MONTANA |
| Doing Business As | PMG MT INFECTION DISEASE |
| Entity Type | Organization |
| Authorized Contact | DONALD WAYNE ANDERSON Assistant Secretary Enrollments 425-358-9786 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease |
| Enumeration Date | 2009-03-06 |
| Last Update Date | 2025-05-06 |