| NPI | 1194502021 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BESSIE JOYCE FAIRBAIRN Dr. Fairbairn/Owner 406-855-9722 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2023-09-13 |
| Last Update Date | 2023-09-13 |