Healthcare Provider Details

I. General information

NPI: 1104387125
Provider Name (Legal Business Name): CARA ELAINE SAXON MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/31/2019
Last Update Date: 08/27/2026
Certification Date: 08/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 W BROADWAY ST STE 320
MISSOULA MT
59802-4008
US

IV. Provider business mailing address

PO BOX 31001
PASADENA CA
91110-4114
US

V. Phone/Fax

Practice location:
  • Phone: 406-329-5615
  • Fax: 406-329-5606
Mailing address:
  • Phone: 406-329-5615
  • Fax: 406-329-5606

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberDR.0068242
License Number StateCO
# 3
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberMED-PHYS-LIC-174549
License Number StateMT
# 4
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License NumberMED-PHYS-LIC-174549
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: