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Contact Information

BRENT M ROSTER, MD
2360 MULLAN RD STE C
MISSOULA, MT59808-1811
 Phone: 406-721-4436
 Fax: 406-721-6053
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Foot and Ankle Surgery

207XX0004X 02 Physician/General Surgery
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for BRENT M ROSTER · (Male)

NPI # 1720222508
Status Active
Credentials MD
Entity Individual
Enumeration date 04/24/2009
Last updated 07/21/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • CA License # A130888
  • MT License # MED-PHYS-LIC-36762
  • NV License # 15371
  • OR License # MD158161
  • NV Medicaid 1720222508
Hospital affiliation(s)
  • PROVIDENCE ST JOSEPH MEDICAL CENTER - (Critical Access)
    6 13TH AVE E
    POLSON, MT 59860
  • ST LUKE COMMUNITY HOSPITAL - (Critical Access)
    107 6TH AVE SW
    RONAN, MT 59864
  • ST PATRICK HOSPITAL - (Acute Care)
    500 W BROADWAY
    MISSOULA, MT 59806
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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