| NPI | 1518124379 |
|---|---|
| Other Name | PMG MT IHI ANACONDA |
| Doing Business As | PROVIDENCE MEDICAL GROUP MONTANA |
| Entity Type | Organization |
| Authorized Contact | DONALD WAYNE ANDERSON Assistant Secretary Enrollment 425-358-9786 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology |
| 207RP1001X Internal Medicine, Pulmonary Disease | |
| Enumeration Date | 2008-05-20 |
| Last Update Date | 2025-05-07 |