Family Medicine
MISSOULA OSTEOPATHIC CLINIC, LLC
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 Plan acceptance stays unpublished until the practice reports it.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 1326487430 · enumerated 2013-06-21 · record updated 2022-11-10. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Authorized official: SAM WALLACE D.O., Owner/Physician · (406) 327-0269
Addresses and phones
- Practice location 341 W PINE ST, MISSOULA, MT, 59802-4119 (406) 327-0269 Fax (406) 327-0264 Google Maps Apple Maps OpenStreetMap
- Mailing address 341 W PINE ST, MISSOULA, MT, 59802-4119 (406) 327-0269 Fax (406) 327-0264 Google Maps Apple Maps OpenStreetMap
Specialties
- Family Medicine 207Q00000X · Primary · License MED-PHYS-LIC-8667 MT
In this directory
Locations and evidence
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Practice location
MISSOULA, MT, 598024119
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.