NPI | 1144275744 |
---|---|
Entity Type | Organization |
Authorized Contact | BRENTLEY ALLEN BUCHELE President 406-758-6888 |
Organization Subpart ? | No |
Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: MT 11056) |
Enumeration Date | 2006-05-23 |
Last Update Date | 2009-10-08 |