| NPI | 1669791786 |
|---|---|
| Doing Business As | PMG WMT FLORENCE FAMILY MED |
| Doing Business As | PROVIDENCE MEDICAL GROUP MONTANA |
| Entity Type | Organization |
| Authorized Contact | DONALD WAYNE ANDERSON Assistant Secretary Enrollments 425-358-9786 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2010-05-28 |
| Last Update Date | 2025-05-07 |