| 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 |