Organization
PROVIDENCE ST JOSEPH MEDICAL CENTER
Active
Other names
Prov St Joseph Med Ctr
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD WAYNE ANDERSON JR. (ASSISTNAT SECRETARY ENROLLMENT)
(425) 359-9786
Entity
Organization
Contact information
Practice address
6 13TH AVE E, POLSON, MT 59860-5315
(406) 883-5377
Mailing address
PO BOX 31001-4110, PASADENA, CA 91110-4110
(406) 883-5377
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
12/13/2007
Last updated
04/05/2025
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