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Missoula Osteopathic Clinic, Pllc

Neuromusculoskeletal Medicine & OMM Physician in Missoula, MT · enumerated 2009 · authorized official Sam Wallace, Owner/Physician.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1912133885

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Registry record

Entity type Organization (Type 2)
Legal business name Missoula Osteopathic Clinic, Pllc
Practice address 341 W Pine St, Missoula, MT, 59802
Fax (406) 327-0264
Enumeration date Jun 5, 2009
Last updated in NPPES Jun 5, 2009

Taxonomy & classification

204D00000X Neuromusculoskeletal Medicine & OMM Physician Allopathic & Osteopathic Physicians · License 8667 (MT) Primary
204D00000X Neuromusculoskeletal Medicine & OMM Physician Allopathic & Osteopathic Physicians · License 11754 (MT) Secondary
204D00000X Neuromusculoskeletal Medicine & OMM Physician Allopathic & Osteopathic Physicians · License 11801 (MT) Secondary

Authorized official

Name Sam Wallace
Title Owner/Physician

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Missoula Osteopathic Clinic, Pllc?
NPPES lists Sam Wallace (Owner/Physician) as the authorized official for this organization.
What is the NPI number for Missoula Osteopathic Clinic, Pllc?
The NPI for Missoula Osteopathic Clinic, Pllc is 1912133885, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2009-06-05.