Healthcare Provider Details

I. General information

NPI: 1962457663
Provider Name (Legal Business Name): GARY PHILLIP HARVEY MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/23/2006
Last Update Date: 11/14/2025
Certification Date: 11/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2825 FORT MISSOULA RD 115
MISSOULA MT
59804
US

IV. Provider business mailing address

2835 FORT MISSOULA RD STE 202
MISSOULA MT
59804-7424
US

V. Phone/Fax

Practice location:
  • Phone: 406-728-4292
  • Fax: 406-728-5770
Mailing address:
  • Phone: 406-728-4292
  • Fax: 406-728-5770

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207VE0102X
TaxonomyReproductive Endocrinology Physician
License Number7259
License Number StateMT
# 2
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number7259
License Number StateMT
# 3
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License Number7259
License Number StateMT
# 4
Primary TaxonomyN
Taxonomy Code207VC0200X
TaxonomyCritical Care Medicine (Obstetrics & Gynecology) Physician
License Number7259
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: