Organization
MISSOULA OSTEOPATHIC CLINIC, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAM A WALLACE D.O. (OWNER/PHYSICIAN)
(406) 327-0269
Entity
Organization
Contact information
Practice address
341 W PINE ST, MISSOULA, MT 59802-4119
(406) 327-0269
(406) 327-0264
Mailing address
341 W PINE ST, MISSOULA, MT 59802-4119
(406) 327-0269
(406) 327-0264
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
11754
MT
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
11801
MT
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
Primary
8667
MT
Other
Enumeration date
06/05/2009
Last updated
06/05/2009
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us