# MISSION MOUNTAINS OSTEOPATHY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003569112
- **Authorized official:** DHARMA ROSE DO (PRESIDENT)
- **Authorized official phone:** (406) 745-0845

## Contact information

- **Practice address:** 54699 HILLSIDE RD, ST IGNATIUS, MT 59865-8915
- **Practice address phone:** (406) 745-0845
- **Practice address fax:** (406) 204-3238
- **Mailing address:** 54699 HILLSIDE RD, ST IGNATIUS, MT 59865-8915
- **Mailing address phone:** (406) 745-0845
- **Mailing address fax:** (406) 204-3238

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/28/2022
- **Last updated:** 01/28/2022