Beargrass Family Medicine, PLLC
Family Medicine in Missoula, MT. Organization (NPI-2).
NPI number1811514110
StatusActive
Last updated in NPPESMar 11, 2021
Details
- NPI
- 1811514110
- Entity type
- Organization (NPI-2)
- Legal business name
- Beargrass Family Medicine, PLLC
- Organization subpart
- No
- Enumeration date
- Jul 2, 2020
- Certification date
- Mar 11, 2021
- Last updated
- Mar 11, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | – | Yes |
Practice location
445 W Alder StMissoula, MT 59802-4121
Phone 406-510-1800 · Fax 406-926-1114
Mailing address
445 W Alder StMissoula, MT 59802-4121
Phone 406-510-1800
Authorized official
Timothy Caramore
President / Physician
4065101800
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