| NPI | 1023169190 |
|---|---|
| Doing Business As | NORTHERN MONTANA MEDICAL GROUP OFFSITE |
| Entity Type | Organization |
| Authorized Contact | DAVID C HENRY President CEO 406-265-2211 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261Q00000X |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2010-02-13 |