| Anderson Integrative Medicine | |
|
2831 Fort Missoula Rd Ste 203 Missoula MT 59804-7479 | |
| (406) 493-0712 | |
| (406) 251-4563 |
| Full Name | Anderson Integrative Medicine |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 2831 Fort Missoula Rd Ste 203, Missoula, Montana |
| Authorized Official Name and Position | Matthew J Anderson (OWNER) |
| Authorized Official Contact | 4064930712 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Anderson Integrative Medicine 2831 Fort Missoula Rd Ste 203 Missoula MT 59804-7479 Ph: (406) 493-0712 | Anderson Integrative Medicine 2831 Fort Missoula Rd Ste 203 Missoula MT 59804-7479 Ph: (406) 493-0712 |
| NPI Number | 1194285767 |
|---|---|
| Provider Enumeration Date | 03/21/2019 |
| Last Update Date | 09/27/2023 |
| Medicare PECOS PAC ID | 3274867247 |
|---|---|
| Medicare Enrollment ID | O20190625001568 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194285767 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
| 363LP2300X | Nurse Practitioner - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Matthew John Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497095210 PECOS PAC ID: 9931473949 Enrollment ID: I20170914001422 |
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