NPI | 1104097351 |
---|---|
Entity Type | Organization |
Authorized Contact | SCOTT RICHARD JAHNKE Doctor Owner 406-755-4488 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP3300X Clinic/Center Pain (Licence: MT 10947) |
Additional Taxonomies | 261QR0400X Clinic/Center Rehabilitation |
Enumeration Date | 2008-03-17 |
Last Update Date | 2020-04-06 |