| NPI | 1114973781 |
|---|---|
| Former Legal Business Name | GLACIER NEUROLOGICAL ASSOCIATES |
| Entity Type | Organization |
| Authorized Contact | PATRICK BURNS Director 406-752-5095 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2011-11-28 |