# ALLERGY AND INFUSION SERVICES OF MISSOULA, PLLC

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

## Provider details

- **NPI number:** 1477661874
- **Authorized official:** WARD S DEWITT MD (OWNER/MD)
- **Authorized official phone:** (406) 728-5428

## Contact information

- **Practice address:** 2825 FORT MISSOULA RD, SUITE 317C, MISSOULA, MT 59804-7420
- **Practice address phone:** (406) 728-5428
- **Practice address fax:** (406) 728-5458
- **Mailing address:** 2825 FORT MISSOULA RD, SUITE 317C, MISSOULA, MT 59804-7420
- **Mailing address phone:** (406) 728-5428
- **Mailing address fax:** (406) 728-5458

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207K00000X | Allergy & Immunology Physician | 7276 | MT | Yes |

## Other

- **Enumeration date:** 08/26/2006
- **Last updated:** 08/22/2020