| NPI | 1043568959 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL RICHARD MATTSON President 406-490-3983 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MT RN28323) |
| Enumeration Date | 2012-08-27 |
| Last Update Date | 2013-11-24 |