NPI | 1093397978 |
---|---|
Doing Business As | MONTANA ANACONDA HEALTH CENTER |
Entity Type | Organization |
Authorized Contact | JONATHAN LEIZMAN President 216-479-9063 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
Enumeration Date | 2021-04-21 |
Last Update Date | 2024-10-14 |