EVERNORTH CARE PROVIDERS - ARIZONA PC is a general practice in Missoula, MT. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
Source: National Uniform Claim Committee EVERNORTH CARE PROVIDERS - ARIZONA PC NPI is 1881455269. The provider is registered as an organization entity type and is a multi-specialty group.
The provider's business location address is:
2806 S GARFIELD ST
MISSOULA, MT
ZIP 59801-705
Phone: (773) 292-4800
Fax: (312) 564-4059
The provider's authorized official is Grace Blue .
The authorized official title is Credentialing Sr. Manager and has the following contact phone number (773) 292-4800.
The CLIA number assigned to this NPI record is 27D2301326 - other - in home primary care with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 1/22/2024 and was last updated on 1/22/2024.