Organization
MISSOULA VALLEY MEDICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRAVIS TAYLOR (PRESIDENT)
(406) 251-9343
Entity
Organization
Contact information
Practice address
3295 CATHY CT, MISSOULA, MT 59803
(406) 251-9343
(406) 251-7255
Mailing address
3295 CATHY CT, MISSOULA, MT 59803
(406) 251-9343
(406) 251-7255
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
10/16/2012
Last updated
10/16/2012
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