| NPI | 1205239076 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALICE R CORTRIGHT De PT Dir PFS 406-563-8528 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MT 12768) |
| Enumeration Date | 2014-10-07 |
| Last Update Date | 2016-11-09 |