| NPI | 1003216409 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS DAVID MULGREW President 406-431-1384 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MT 10628) |
| Additional Taxonomies | 2084P2900X Psychiatry & Neurology, Pain Medicine (Licence: MT 10628) |
| 2084S0012X Psychiatry & Neurology, Sleep Medicine (Licence: MT 10628) | |
| Enumeration Date | 2014-09-04 |
| Last Update Date | 2014-09-04 |