Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Missoula Sports Medicine and Imaging LLC

Organization Sports Medicine (Family Medicine) Physician · NPI 1700762200

Missoula Sports Medicine and Imaging LLC provides Sports Medicine (Family Medicine) Physician services in Missoula, Montana. Registered with an NPI since 2025.

In the registry since
2025
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

1510 S Reserve St
Missoula, MT 59801-4756
Phone: (406) 540-4117
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sports Medicine (Family Medicine) Physician (primary) Taxonomy 207QS0010X

Record details

NPI number1700762200
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Timothy McCue — Owner/Physician · (406) 540-4117
NPI enumeratedAugust 12, 2025
Last updated in NPPESAugust 12, 2025
Certification dateAugust 12, 2025
Mailing address1510 S Reserve St, Missoula, MT 59801-4756

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