MEDICARE: MEGHAN MOORHEAD M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207V00000X	Obstetrics & Gynecology Physician	MED-PHYS-LIC-146011	MT

General Provider Information

NPI Number	:	1770947491
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MEGHAN MOORHEAD M.D.

Provider Business Mailing Address
First Line	:	500 W BROADWAY ST
Second Line	:
City	:	MISSOULA
State	:	MT
Zip	:	59802-4008
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2835 FORT MISSOULA RD STE 101
Second Line	:
City	:	MISSOULA
State	:	MT
Zip	:	59804-7424
Country	:	US
Telephone Number	:	406-721-5600
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/08/2016
Last Update Date	:	04/13/2026

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Directions to “ MEGHAN MOORHEAD M.D.” Practice Location

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