PROVIDENCE HEALTH & SERVICES MT

MISSOULA, MT
NPI1417198243
Doing Business AsPMG MT WOMEN'S CARE CENTER
Entity TypeOrganization
Authorized ContactKIRK BODLOVIC
CFO
406-543-7271
Organization Subpart ?Yes
Primary Taxonomy207V00000X Obstetrics & Gynecology
Enumeration Date2009-03-06
Last Update Date2013-11-20
Business Address
PROVIDENCE HEALTH & SERVICES MT
500 W BROADWAY ST 3RD FLOOR
MISSOULA, MT 59802-4096
Phone number: 406-327-3057
Mailing Address
PROVIDENCE HEALTH & SERVICES MT
PO BOX 12
LIBERTY LAKE, WA 99019-0012
Phone number: 406-327-1918