NPI: 1235370065
Provider Name: PROVIDENCE HEALTH & SERVICES MT
Doing Business As: PMG MT WOUND CARE
Classification: Internal Medicine - 207RE0101X
Entity Type: Organization
Specialization: Endocrinology, Diabetes & Metabolism
Address:
500 W BROADWAY ST
1ST FLOOR
MISSOULA, MT
ZIP 59802
Phone: (406) 327-5734
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PROVIDENCE HEALTH & SERVICES MT is an endocrinology and diabetes and metabolism internal medicine in Missoula, MT. The provider is an internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. PROVIDENCE HEALTH & SERVICES MT NPI is 1235370065. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Pmg Mt Wound Care.
The provider's business location address is:
500 W BROADWAY ST
1ST FLOOR
MISSOULA, MT
ZIP 59802-096
Phone: (406) 327-5734
The provider's authorized official is Teri Masters .
The authorized official title is Rcm Operations Mgr. and has the following contact phone number (406) 329-5795.
The enumeration date for this NPI number is 3/6/2009 and was last updated on 6/29/2011.