Organization
MISSOULA SPORTS MEDICINE AND IMAGING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY J MCCUE (OWNER/PHYSICIAN)
(406) 540-4117
Entity
Organization
Contact information
Practice address
1510 S RESERVE ST, MISSOULA, MT 59801-4756
(406) 540-4117
Mailing address
1510 S RESERVE ST, MISSOULA, MT 59801-4756
(406) 540-4117
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
—
—
Other
Enumeration date
08/12/2025
Last updated
08/12/2025
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