Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Missoula Osteopathic Clinic, LLC

Organization Family Medicine Physician · NPI 1326487430

Missoula Osteopathic Clinic, LLC provides Family Medicine Physician services in Missoula, Montana. Licensed in Montana. Registered with an NPI since 2013.

Licensed in
MT
In the registry since
2013
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

341 W Pine St
Missoula, MT 59802-4119
Phone: (406) 327-0269
Fax: (406) 327-0264
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence MED-PHYS-LIC-8667 (MT)

Record details

NPI number1326487430
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sam Wallace — Owner/Physician · (406) 327-0269
NPI enumeratedJune 21, 2013
Last updated in NPPESNovember 10, 2022
Certification dateOctober 26, 2022
Mailing address341 W Pine St, Missoula, MT 59802-4119

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