Organization
MONTANA GASTROENTEROLOGY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT MCCARVILLE (AUTHORIZED OFFICIAL)
(417) 889-2040
Entity
Organization
Contact information
Practice address
1930 W BROADWAY, STE A, MISSOULA, MT 59808
(406) 541-6844
(406) 541-6843
Mailing address
2808 S INGRAM MILL RD BLDG B, SPRINGFIELD, MO 65804-4017
(417) 889-2040
(417) 719-7896
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
06/04/2020
Last updated
08/09/2021
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