| NPI | 1174561716 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOT J BOWEN President 406-252-3156 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MT 1046) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: WY 631) |
| Enumeration Date | 2006-06-04 |
| Last Update Date | 2014-05-21 |