Marcos Puiggari, DVM

Marcos Puiggari & ChuckDr. Puiggari is the principal veterinarian and owner of Alpine Veterinary Care. Marcos grew up in Oklahoma and has been a practicing veterinarian since 1988. He worked in Indiana before moving to Santa Fe, NM where he primarily worked as an emergency veterinarian, eventually becoming the Director of the Santa Fe Animal Emergency Center for over 10 years. Marcos loved doing emergency work and being able to ferret out complex diagnostic issues and performing complex surgeries.

Dr. Puiggari and his wife moved to Missoula Montana in order to raise a family. After moving to Missoula he worked as the Director of the Animal Emergency and then as an emergency veterinarian commuting to Ogden Utah. When the opportunity arose, Dr. Puiggari was able to assume ownership of Alpine Veterinary Care in 2011.

He enjoys interacting with his clients; both human and animal. Dr. Puiggari is dedicated to providing the best quality veterinary care possible, with skill and compassion to all animals and to helping their guardians achieve the best quality of life possible for their pets.


Heidi Hagen, DVM

Heidi Hagen, DVMDr. Hagen joined the team at Alpine Veterinary Care as a 2013 graduate of Colorado State University College of Veterinary Medicine. She is thrilled to return to her home state of Montana to practice and is excited to be serving the needs of the Missoula pet loving community.

Heidi grew up in the Flathead Valley. She fell in love with Missoula during her undergraduate years and she and her husband are looking forward to many happy years in the Missoula community.

Heidi has been interested in veterinary medicine since childhood and loves connecting with owners and their pet families. She has a particular interest in pain management and is certified in Veterinary Medical Acupuncture. She is passionate about providing top notch medical care and a great quality of life for her patients.


Carmen Coots, DVM

Carmen and Dude 2

Dr. Carmen Coots joined Alpine Vet in August 2019 after 21 years practicing veterinary medicine all over the country. She grew up in Morris, IL and Honolulu, HI, and attended veterinary school at the University of Illinois. She and her husband, Brad, and two kids, Callum and Gigi, are very happy to be settled in Missoula and to take part in all the region has to offer. When not at the clinic, you may find Carmen swimming in various pools and lakes, hiking with her family and Newfoundland named Dude, or skiing. 


Jesse Hammond, Service and Support Supervisor, Receptionist

Jesse Hammond & BernyWorking at Alpine Veterinary Care has made me appreciate the care and time needed to own a pet and how important they are to their owners. I was raised in Missoula and know first hand that we live in a pet friendly community.

At work, I always look forward to when new animals come in to see us, and I especially enjoy seeing a familiar tail. Our pet picture bulletin board is a great highlight in the lobby, and I love when clients point out their pets to me, or even better, when they bring a photo to post.

Dr. Marcos Puiggari and the rest of our staff are caring, knowledgeable, and dedicated, and we look forward to seeing you.


Becca McClelland, Receptionist


Chassidy Bechtold, Receptionist


Alicia Pell, Human Resource Representative, Office Manager, Technician 

Alicia and WillowI joined the Alpine team in 2015 after moving from Pennsylvania to the beautiful Missoula area. I graduated from Manor College with an Associates degree in Veterinary Technology in 2011 and Bachelor's degree in Business Administration from Drexel University in 2018. I have experience in opthalmology, emergency and critical care, as well as being an experienced surgical nurse. I love caring for each and every animal like they are my own. When not working, I enjoy hiking, camping, rock climbing, spending time with friends and family, and my service dog (drop out), Willow.



 Alyssa Mallow, Technician

I was born and raised here in Missoula. I have worked in vet clinics since 2013. I love living in such a pet friendly area, that is also close to the outdoors. I enjoy being able to educate owners and help provide the best care possible.


Scott Labbate, Technician

I was born and raised in northeastern Pennsylvania. Since I can remember, I have always watched tv and read books about wildlife. I started working in the veterinary field in 2007, and currently have one dog named Oozi. In my spare time, I enjoy hunting and fishing, camping, and exploring the land.


Cayden Nystul, Technician

Cayden and white horse I am currently a student at the University of Montana, majoring in Ecology and Organismal Biology, and I worked as a large animal veterinary technician prior to joining the team at Alpine. My wife and I have owned a total of four dogs, three horses, and three cats over the last four years here in Missoula - with five of those still trying to fight for a spot on the bed today. I enjoy assisting our amazing staff at Alpine, and look forward to providing your animal with the same level of care I would give my own.




Julia Stueven, Technician


Kaisha Midkiff, Technician


Cameron Steurer, Kennel Assistant