PROVIDENCE HEALTH & SERVICES MT

MISSOULA, MT
NPI1972811768
Doing Business AsPMG MT GENERAL SURGERY
Entity TypeOrganization
Authorized ContactTERI MASTERS
Rcm Operations Mgr
406-329-5795
Organization Subpart ?Yes
Primary Taxonomy208600000X Surgery
Additional Taxonomies2086S0129X Surgery, Vascular Surgery
208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery)
Enumeration Date2010-09-15
Last Update Date2011-07-22
Business Address
PROVIDENCE HEALTH & SERVICES MT
500 W BROADWAY ST
MISSOULA, MT 59802-4008
Phone number: 406-543-7271
Mailing Address
PROVIDENCE HEALTH & SERVICES MT
PO BOX 34439
SEATTLE, WA 98124-1439
Phone number: