| NPI | 1013197912 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHAEL SHELMERDINE Patient Account Representative 406-293-9274 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2007-11-07 |
| Last Update Date | 2024-10-22 |