| Umt Sports Medicine | |
|
37 Campus Dr Hoyt Complex Missoula MT 59812-0001 | |
| (406) 243-6282 | |
| (972) 367-3451 |
| Full Name | Umt Sports Medicine |
|---|---|
| Speciality | Family Medicine |
| Location | 37 Campus Dr, Missoula, Montana |
| Authorized Official Name and Position | Mouzon Bass (AGENT) |
| Authorized Official Contact | 18005559073 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Umt Sports Medicine 5050 Spring Valley Rd Dallas TX 75244-3995 Ph: (800) 555-9073 | Umt Sports Medicine 37 Campus Dr Hoyt Complex Missoula MT 59812-0001 Ph: (406) 243-6282 |
| NPI Number | 1811386220 |
|---|---|
| Provider Enumeration Date | 01/22/2015 |
| Last Update Date | 01/22/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811386220 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207QS0010X | Family Medicine - Sports Medicine | (* (Not Available)) | Secondary |
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