Internal Medicine, Bariatric Medicine
PROVIDENCE HEALTH & SERVICES MT
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 Plan acceptance stays unpublished until the practice reports it.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 1124268982 · enumerated 2009-03-05 · record updated 2025-05-06. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Authorized official: DONALD ANDERSON, ASSISTANT SECRETARY ENROLLMENTS · (425) 358-9786
Other names: PROVIDENCE MEDICAL GROUP MONTANA, PMG MT BARIATRIC SERVICES
Addresses and phones
- Practice location 500 W BROADWAY ST, 4TH FLOOR, MISSOULA, MT, 59802-4096 (406) 329-5866 Google Maps Apple Maps OpenStreetMap
- Mailing address PO BOX 31001 - 4114, PASADENA, CA, 91110-4114 (406) 329-5866 Google Maps Apple Maps OpenStreetMap
Specialties
- Internal Medicine, Bariatric Medicine 207RB0002X · Primary
In this directory
MT Missoula County Missoula Internal Medicine, Bariatric Medicine
Locations and evidence
-
Practice location
MISSOULA, MT, 598024096
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.