| NPI | 1649401076 |
|---|---|
| Doing Business As | PROVIDENCE MEDICAL GROUP MONTANA |
| Doing Business As | PMG MT IHI MONTANA CARDIOLOGY |
| Entity Type | Organization |
| Authorized Contact | DONALD W ANDERSON Assistant Secretary Enrollments 425-358-9786 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology |
| Enumeration Date | 2009-08-03 |
| Last Update Date | 2025-05-07 |