| NPI | 1104882232 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLI D MEUCHEL Practice Administrator 406-862-2515 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 208000000X Pediatrics | |
| Enumeration Date | 2006-04-26 |
| Last Update Date | 2014-03-25 |