Healthcare Provider Details

I. General information

NPI: 1508008111
Provider Name (Legal Business Name): JOHN M MOTT PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/27/2009
Last Update Date: 03/27/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

65 MEDICAL PARK DR
HELENA MT
59601-8048
US

IV. Provider business mailing address

PO BOX 1684
HELENA MT
59624-1684
US

V. Phone/Fax

Practice location:
  • Phone: 406-443-3334
  • Fax:
Mailing address:
  • Phone: 406-495-7260
  • Fax: 406-443-4526

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. JOHN M MOTT
Title or Position: MD
Credential: MD
Phone: 406-495-7260