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

Providence Health & Services Mt

Organization Internal Medicine Physician · NPI 1427281203

Providence Health & Services Mt provides Internal Medicine Physician services in Missoula, Montana. Registered with an NPI since 2009.

In the registry since
2009

Practice location Address checks out

500 W Broadway St Fl 4
Missoula, MT 59802-4008
Phone: (406) 327-1940
Show map & directions

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

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X

Record details

NPI number1427281203
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationProvidence Health & Services
Authorized official Donald Anderson — Assistant Secretary Enrollments · (425) 358-9786
Other names Pmg Mt Broadway Internal Med; Pmg Mt Broadway Internal Med; Providence Medical Group Montana
NPI enumeratedAugust 27, 2009
Last updated in NPPESSeptember 16, 2026
Certification dateSeptember 16, 2026
Mailing addressPo Box 31001 - 4114, Pasadena, CA 91110-4114

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