Physician Assistant, Surgical
COTY HOLM
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1902453855 · enumerated 2019-08-23 · record updated 2021-05-21. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Practice location 500 W BROADWAY ST, MISSOULA, MT, 59802-4008 (406) 329-5615 Google Maps Apple Maps OpenStreetMap
- Mailing address PO BOX 12, LIBERTY LAKE, WA, 99019-0012 (406) 329-5615 Google Maps Apple Maps OpenStreetMap
Specialties
- Physician Assistant, Surgical 363AS0400X · Primary · License MED-PAC-LIC-91036 MT
- Student in an Organized Health Care Education/Training Program 390200000X
In this directory
Locations and evidence
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Practice location
MISSOULA, MT, 598024008
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.