Individual provider · NPI-1

Dr. Merlin Bardett Fausett, M.D.

Obstetrics & Gynecology, Maternal & Fetal Medicine · Missoula, MT

NPI number1659403038
StatusActive
Last updated in NPPESNov 16, 2025

Details

NPI
1659403038
Entity type
Individual (NPI-1)
Name
Dr. Merlin Bardett Fausett
Credential
M.D.
Sex
Male
Sole proprietor
Yes
Enumeration date
Mar 11, 2007
Certification date
Nov 16, 2025
Last updated
Nov 16, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine30616MTYes
207VC0200X Obstetrics & Gynecology, Critical Care Medicine336166-1205UT
207VM0101X Obstetrics & Gynecology, Maternal & Fetal MedicineMD.13790RLA
207V00000X Obstetrics & Gynecology336166-1205UT

Practice location

2831 Fort Missoula Rd Ste 232
Missoula, MT 59804-7479

Phone 406-523-5650 · Fax 855-823-5532

Mailing address

3405 Ravenwood Ln
Missoula, MT 59803-3219

Phone 406-360-7941

Other practice locations

6 13th Ave E
Polson, MT 59860-5315

Phone 406-883-5680 · Fax 406-883-8910

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