| NPI | 1013008952 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW J FERGUSON Secretary/Treasurer 406-587-9788 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MT 10278) |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2020-08-22 |