| NPI | 1699916429 |
|---|---|
| Doing Business As | PMG MT INPATIENT REHAB |
| Doing Business As | PROVIDENCE MEDICAL GROUP MONTANA |
| Entity Type | Organization |
| Authorized Contact | DONALD WAYNE ANDERSON Assistant Secretary For Enrollment 425-358-9786 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Enumeration Date | 2009-03-06 |
| Last Update Date | 2025-02-25 |