| NPI | 1013281716 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDALL SCOTT HULTGREN Owner 406-259-1250 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NX0800X Chiropractor, Orthopedic (Licence: MT 431) |
| Enumeration Date | 2012-02-28 |
| Last Update Date | 2012-05-31 |