FIVE VALLEYS UROLOGY NPI 1720067705

NPI Information

  • NPI: 1720067705
  • Provider Name: FIVE VALLEYS UROLOGY
  • Classification: Urology - 208800000X
  • Entity Type: Organization
  • CLIA Number: 27D0707089
  • Address: 2875 TINA
    SUITE 101
    MISSOULA, MT
    ZIP 59808
  • Phone: (406) 728-3366

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NPI Details

FIVE VALLEYS UROLOGY is an urology in Missoula, MT. The provider is a urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. FIVE VALLEYS UROLOGY NPI is 1720067705. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2875 TINA
SUITE 101
MISSOULA, MT
ZIP 59808-308
Phone: (406) 728-3366
Fax: (406) 329-2896

The provider's authorized official is John Terry O'connor .
The authorized official title is Practice Administrator and has the following contact phone number (406) 728-3366.

The CLIA number assigned to this NPI record is 27D0707089 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 1/10/2006 and was last updated on 4/21/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208800000XUrologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
16221290001MEDICARE NSCMONTANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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