Individual provider · NPI-1

Lar K Autio, MD

Family Medicine · Missoula, MT

NPI number1902850365
StatusActive
Last updated in NPPESJan 8, 2024

Details

NPI
1902850365
Entity type
Individual (NPI-1)
Name
Lar K Autio
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
May 20, 2006
Certification date
Jan 8, 2024
Last updated
Jan 8, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine7833MTYes

Practice location

500 West Broadway
Missoula, MT 59802-4008

Phone 406-721-5600 · Fax 406-721-3907

Mailing address

4090 Duncan Dr
Missoula, MT 59802-3293

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Family Medicine providers in Missoula, MT