Individual
MATTHEW D MUNDING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2825 FORT MISSOULA RD, SUTIE 301, MISSOULA, MT 59804-7420
(406) 926-6999
(406) 926-6999
Mailing address
5751 MEADOW VISTA DR, FLORENCE, MT 59833-6602
(406) 531-6952
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
9973
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000912100
BCBSMT
MT
05
—
1164477824
—
MT
01
—
M000009917
MEDICARE GROUP
MT
Enumeration date
05/23/2006
Last updated
01/04/2023
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