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Your Trusted ENT Specialists in Missoula, MT
Rocky Mountain Ear, Nose, and Throat Center has been dedicated to providing exceptional head and neck care for over 70 years. Our team of highly trained otolaryngologists and audiologists combines advanced education with extensive experience to deliver comprehensive services ranging from pediatric care to complex surgical interventions. With locations across western Montana, we prioritize patient comfort through on-site imaging, personalized treatment plans, and a commitment to community well-being. Our physicians are recognized leaders in their specialties, including rhinology, neurotology, and head and neck oncology, ensuring access to cutting-edge care close to home.

We maintain affiliations with leading medical institutions and participate in research to advance treatment options for conditions like hearing loss, sinus disorders, and thyroid diseases. Our multidisciplinary approach addresses both common and rare conditions, supported by a team of physician assistants and certified audiologists who provide continuity of care. We emphasize patient education and preventive strategies, offering resources on allergy management, hearing protection, and pediatric ENT health. Our mission remains rooted in improving quality of life through compassionate, evidence-based medicine tailored to each individual's needs.
Services
Hearing Aids Cochlear Implants Sinus Surgery Allergy Testing Pediatric ENT Tinnitus Management Thyroid Surgery Skull Base Surgery Balance Disorders Voice Therapy
Highlights and features
  • Over 70 years of combined experience in head and neck care
  • On-site imaging for convenient diagnostic services
  • Specialized treatment for complex ENT conditions
  • Multidisciplinary team of board-certified otolaryngologists and audiologists
  • Community-focused care with multiple western Montana locations
Services
Hearing Aids
Our audiologists provide comprehensive hearing aid services including selection, fitting, and aftercare for adults and children. We offer advanced technology solutions for various hearing impairments and conduct same-day repairs for most makes and models. Our team specializes in cochlear implants and bone-anchored hearing devices.
Sinus Surgery
Board-certified otolaryngologists perform complex endoscopic sinus surgeries for chronic sinusitis and structural abnormalities. Our specialists use minimally invasive techniques to treat inflammatory disease, cerebrospinal fluid leaks, and nasal deformities while preserving healthy tissue.
Allergy Testing
The Rocky Mountain Allergy Center offers skin and blood testing for environmental and food allergies. Certified specialists administer immunotherapy through allergy shots or sublingual drops, addressing symptoms caused by pollen, mold, and animal dander with personalized treatment plans.
Pediatric ENT
Our team provides specialized care for children's ear, nose, and throat conditions including tonsillitis, hearing loss, and airway disorders. We offer pediatric audiology services and surgical interventions using family-centered approaches that prioritize comfort and developmental needs.
Skull Base Surgery
Subspecialty-trained surgeons perform skull base procedures for acoustic neuromas, encephaloceles, and other complex conditions. Our neurotology team utilizes advanced imaging and surgical techniques to treat disorders affecting the cranial base, brain, and orbit with multidisciplinary coordination.
People
Duncan Watley
M.D.
Dr. Watley specializes in rhinology and skull base surgery after completing a fellowship at Johns Hopkins Hospital. He provides complex endoscopic sinus procedures and cranial base treatments with over 15 years of clinical experience in managing nasal and sinus pathologies.
Jonathan Fowlkes
M.D.
Board-certified in head and neck oncology, Dr. Fowlkes focuses on thyroid surgery and pediatric ENT care. He completed fellowship training at the University of Iowa and brings expertise in microvascular reconstruction and pediatric airway disorders to our Bozeman practice.
Phillip Gardner
M.D.
With over 25 years serving western Montana, Dr. Gardner specializes in pediatric otolaryngology and allergy management. He contributes to community health initiatives while maintaining clinical expertise in sinus disorders and head and neck surgery.
Kevin Duffy
Au.D.
As Hearing Center Director, Dr. Duffy manages diagnostic audiology services and cochlear implant programs. His clinical interests include vestibular diagnostics and pediatric hearing solutions, combining technical expertise with patient-centered care for all age groups.
Jodie Ferro
Allergy Director
Certified allergy technician with specialized training in ENT-related allergic conditions. She coordinates immunotherapy programs and patient education initiatives, focusing on environmental allergy management and symptom prevention strategies.
Questions
What ENT services are available in Missoula?
We offer comprehensive ENT care including sinus surgery, hearing solutions, allergy treatment, pediatric ENT services, and head & neck oncology at our Missoula clinic.
How can I schedule a hearing aid evaluation?
Contact our Hearing Center at 406-541-3873 to schedule a diagnostic evaluation with our audiologists for hearing aid candidacy assessment.
Do you treat pediatric ear infections?
Yes, our specialists provide care for common pediatric ENT conditions including chronic ear infections, tonsillitis, and hearing loss.
Are allergy shots available in Bozeman?
The Rocky Mountain Allergy Center offers immunotherapy treatments at our Bozeman location through board-certified specialists and certified technicians.
What surgical options exist for chronic sinusitis?
Our otolaryngologists perform endoscopic sinus surgery using minimally invasive techniques to treat chronic sinusitis and structural abnormalities.
Do you accept new patients in Hamilton?
Our Hamilton Hearing Center accepts new patients for audiology services, with ENT consultations available through outreach clinics.
Reviews (5)
Loretta Intrary
Jun 03, 2022 Report
Dr Kotowski is always friendly and willing to answer any questions even though they may have been asked before. He makes you feel that you are the most important patient he has. He is genuinely a great doctor and I have complete trust in him. His staff is also very friendly and helpful. Thank you for all the heartfelt care, concern and advice you have given me regarding my eye.
Noreen Anderson
Mar 24, 2022 Report
Dr Guess and his staff are amazing! I saw him after a referral from my optometrist and he addressed the issue and resolved it quickly. The staff and Dr Guess were very kind and friendly- they explained everything very clearly and so I understood what to expect
Les Clark
Mar 03, 2022 Report
Great care and surgery, fantastic results! I am very pleased! I had a detached retina and he, along with me following through on my aftercare, has restored my vision to 20/ 20 from 20/300. What an amazing result! Thank you Dr. Kotowski!
Barbara Home Again
Feb 11, 2022 Report
I visited Rocky Mountain Eye Center after being referred by a Helena eye doc who I trust very much. I was very nervous due to recent changes in my eye sight. I feel very grateful to have landed at this bustling, professional clinic and in the care of Dr. Scott Guess who was reassuring, confident, capable and very experienced in the procedure I will likely have done. Whew. Honestly, I wept with relief at my good fortune to have landed at this busy regional clinic and in the capable, professional care of Dr. Guess.
Rose Moncy
Feb 10, 2022 Report
Everyone here is very friendly and professional. I had cataract surgery on both eyes, one at a time. I was real happy with both of them, I only need glasses to read. It was all just like they said it would b. No surprises. I am so grateful for all of them and would highly recommend Rocky Mountain Eye to everyone rather it be eye surgery, glasses or hearing, they do it all. Thank you crew you for making this a real great experience.