Organization · Type 2 NPI

Providence Health & Services MT

Surgery Physician · Missoula, MT

NPI number 1972811768 Active

Practice location

500 W Broadway St
Missoula, MT 59802-4008

Call (406) 543-7271 Map

Mailing address

PO Box 34439
Seattle, WA 98124-1439

Specialties and licenses

TaxonomyCodeLicense
Surgery Physician Primary 208600000XNone listed
Vascular Surgery Physician 2086S0129XNone listed
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000XNone listed

Surgery Physician: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasin…

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About NPI 1972811768

Providence Health & Services MT's National Provider Identifier is 1972811768, issued on Sep 15, 2010. The primary taxonomy on file is Surgery Physician (208600000X), and the practice location is in Missoula, MT. The record was last updated on Jul 22, 2011.