Organization
BIRTH CENTER FACILITY
Active
Organization
BIRTH CENTER FACILITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LYNN D MONTGOMERY M.D. (SUPERVISING PHYSICIAN)
(406) 549-0978
Entity
Organization
Contact information
Practice address
1211 S RESERVE ST, MISSOULA, MT 59801-3102
(406) 549-0978
Mailing address
1211 S RESERVE ST, MISSOULA, MT 59801-3102
(406) 549-0978
Taxonomy
Speciality
Code
Description
License number
State
261QB0400X
Birthing Clinic/Center
Primary
—
—
Other
Enumeration date
08/18/2008
Last updated
08/18/2008
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