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Providence Health & Services Mt
Pain Clinic/Center in Missoula, Montana
NPI 1063653897

Providence Health & Services Mt is a Pain Clinic/Center based in Liberty Lake, MT and is specialized in Pain. Providence Health & Services Mt practices in Missoula, MT. The NPI Number for Providence Health & Services Mt is 1063653897 and holds a License No. (Montana).

The current practice location address for Providence Health & Services Mt is 500 W Broadway St, Missoula, MT and can be reached out via phone at 406-327-1670.

Location: 500 W Broadway St, Missoula, MT, 99019-0012
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1063653897
Provider Name
Providence Health & Services Mt
Credential
Provider Entity Type
Organization
Address
500 W Broadway St, Missoula, MT, 99019-0012
Phone Number
406-327-1670
Fax Number
Provider Enumeration Date
03/06/2009
Last Update Date
03/12/2024
institution
Provider Business Practice Location Address Details
Address
500 W Broadway St
City
Missoula
State
Montana
Zip
59802-4096
Phone Number
406-327-1670
Fax Number
person
Provider Business Mailing Address Details
Address
500 W Broadway St
City
Missoula
State
Montana
Zip
59802-4096
Phone Number
406-327-1670
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Physical Medicine & Rehabilitation
Speciality
Spinal Cord Injury Medicine
Taxonomy
2081P0004X
License No.
()
Definition
A physician who addresses the prevention, diagnosis, treatment and management of traumatic spinal cord injury and non-traumatic etiologies of spinal cord dysfunction by working in an interdisciplinary manner. Care is provided to patients of all ages on a lifelong basis and covers related medical, physical, psychological and vocational disabilities and complications.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Pain
Taxonomy
261QP3300X
License No.
()
Definition
Definition to come...
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