| Pmg Mt Wound Care | |
|
500 W Broadway St 1st Floor Missoula MT 59802-4096 | |
| (406) 327-5734 | |
| Not Available |
| Full Name | Pmg Mt Wound Care |
|---|---|
| Speciality | Internal Medicine - Endocrinology, Diabetes & Metabolism |
| Location | 500 W Broadway St, Missoula, Montana |
| Authorized Official Name and Position | Teri Masters (RCM OPERATIONS MGR.) |
| Authorized Official Contact | 4063295795 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pmg Mt Wound Care Po Box 34439 Seattle WA 98124-1439 Ph: (406) 327-5734 | Pmg Mt Wound Care 500 W Broadway St 1st Floor Missoula MT 59802-4096 Ph: (406) 327-5734 |
| NPI Number | 1235370065 |
|---|---|
| Provider Enumeration Date | 03/06/2009 |
| Last Update Date | 06/29/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235370065 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | (* (Not Available)) | Primary |
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