NPI 1669892576 · live from the CMS NPI Registry
Casey Ambrose, MD
Emergency Medicine in Missoula, MT. National Provider Identifier 1669892576, active.
NPI record
| NPI | 1669892576 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Emergency Medicine 207P00000X |
| Practice location | 500 W Broadway St, Missoula, MT 59802 |
| Practice phone | 406-329-5635 |
| Enumerated | April 17, 2014 |
| Last updated | October 6, 2017 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Emergency Medicine | 207P00000X | MED-PHYS-LIC-53219 (MT) |
| Emergency Medicine primary | 207P00000X | 53219 (MT) |
| Student in an Organized Health Care Education/Training Program | 390200000X | RS2014-0357 (NM) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.