Organization
MISSOULA FAMILY MEDICAL CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL ROBERT PRIDDY M.D. (PARTNER)
(406) 728-3111
Entity
Organization
Contact information
Practice address
621 W ALDER ST, MISSOULA, MT 59802-4014
(406) 728-3111
(406) 728-3116
Mailing address
621 W ALDER ST, MISSOULA, MT 59802-4014
(406) 728-3111
(406) 728-3116
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4963
MT
Other
Enumeration date
08/10/2006
Last updated
04/19/2010
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