Missoula Urology PLLC

Primary specialty

Pediatric Urology PhysicianTaxonomy code 2088P0231X

License

G47576 Issued in MT

Legal business name

MISSOULA UROLOGY PLLC

Practice address

2835 Fort Missoula Rd
Suite 201
Missoula, MT 59804-7423

Phone

(406) 543-1967

Fax

(406) 543-5379

NPI assigned

Oct 10, 2007

Last updated

Oct 10, 2007By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. William J Graber, MDNPI 1700816428

Title

Owner

Phone

(406) 543-1967

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• William J Graber IV, M.D.

  • Urology Physician
  • Houston, TX
  • NPI 1700816428
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1191974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191974400000",
    "number": "1609064013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2835 FORT MISSOULA RD",
            "address_2": "SUITE 201",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598047423",
            "telephone_number": "406-543-1967",
            "fax_number": "406-543-5379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2835 FORT MISSOULA RD",
            "address_2": "SUITE 201",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598047423",
            "telephone_number": "406-543-1967",
            "fax_number": "406-543-5379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSOULA UROLOGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-10",
        "last_updated": "2007-10-10",
        "status": "A",
        "authorized_official_last_name": "GRABER",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "406-543-1967",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2088P0231X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology, Pediatric Urology",
            "state": "MT",
            "license": "G47576",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Missoula Sports Medicine and Imaging LLC
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• Missoula Therapy, PLLC
• Missoula Urban Indian Health Center, Inc.
• Missoula Urban Transportation District (Mountain Line)
• Missoula Valley Medical
• Missoula Valley Physical Medicine and Rehabilitation, PLLC
• Missouri Consumer Direct, LLC
• Misty's Tanning and Ultimate Salon
• Mitch Guerette LCSW LLC

• Pediatric Urology Physician in Missoula, MT
• Providers in Missoula, MT by specialty
• Pediatric Urology Physician in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.