| NPI | 1114050481 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN KEVIN BEIGHLE Pres. 406-240-4593 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 213E00000X Podiatrist |
| 213ES0103X Podiatrist, Foot & Ankle Surgery | |
| 261Q00000X Clinic/Center | |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2025-01-06 |