| NPI | 1205126018 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCUS A. JOHNSON Owner 406-452-9927 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: MT 3401) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MT 3401) |
| Enumeration Date | 2011-04-13 |
| Last Update Date | 2011-04-28 |