| NPI | 1013164987 |
|---|---|
| Doing Business As | BPA HAVRE |
| Entity Type | Organization |
| Authorized Contact | DANIEL JOSEPH REINER Chief Administrative Officer 406-455-4470 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RH0000X Internal Medicine, Hematology (Licence: MT 10706) |
| Additional Taxonomies | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: MT 10145) |
| 2085R0001X Radiology, Radiation Oncology (Licence: NH 11765) | |
| Enumeration Date | 2008-08-22 |
| Last Update Date | 2008-11-11 |