NPI | 1003339334 |
---|---|
Entity Type | Organization |
Authorized Contact | JEOFFREY W LANFEAR Owner/Practitioner 406-407-3126 |
Organization Subpart ? | No |
Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care (Licence: AK 1053820) |
Enumeration Date | 2017-07-19 |
Last Update Date | 2017-10-05 |