Healthcare Provider Details

I. General information

NPI: 1164477824
Provider Name (Legal Business Name): MATTHEW D MUNDING M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/23/2006
Last Update Date: 08/20/2026
Certification Date: 08/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1645 VANDELAY AVE STE 301
HELENA MT
59601-3929
US

IV. Provider business mailing address

5751 MEADOW VISTA DR
FLORENCE MT
59833-6602
US

V. Phone/Fax

Practice location:
  • Phone: 406-731-8050
  • Fax: 406-731-8318
Mailing address:
  • Phone: 406-531-6952
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208800000X
TaxonomyUrology Physician
License Number9973
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: