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NPI Verification

National Provider Identifier: 1235370065

Providence Health & Services Mt

Organization

Primary Specialty

Internal Medicine, Endocrinology, Diabetes & Metabolism

Code: 207RE0101X

Practice Address

500 W BROADWAY ST

1ST FLOOR

MISSOULA, MT 598024096

Phone: 406-327-5734

NPI Enumeration Date

March 6, 2009

NPI Number

1235370065

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry
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