| Missoula Family Medicine | |
|
2831 Fort Missoula Rd Ste 302 Missoula MT 59804-7401 | |
| (406) 493-1600 | |
| (406) 493-6777 |
| Full Name | Missoula Family Medicine |
|---|---|
| Speciality | Family Medicine |
| Location | 2831 Fort Missoula Rd Ste 302, Missoula, Montana |
| Authorized Official Name and Position | Thomas Frandsen (OWNER/PHYSICIAN) |
| Authorized Official Contact | 4064931600 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Missoula Family Medicine 4425 Sundown Rd Missoula MT 59804-7109 Ph: (406) 370-2187 | Missoula Family Medicine 2831 Fort Missoula Rd Ste 302 Missoula MT 59804-7401 Ph: (406) 493-1600 |
| NPI Number | 1992365951 |
|---|---|
| Provider Enumeration Date | 06/20/2019 |
| Last Update Date | 03/24/2021 |
| Medicare PECOS PAC ID | 8325377633 |
|---|---|
| Medicare Enrollment ID | O20190912000254 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992365951 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Thomas Douglas Frandsen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164718813 PECOS PAC ID: 2163669045 Enrollment ID: I20150114001301 |
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