| NPI | 1215111679 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANNON L CHAPLA Office Manager 406-728-4292 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: MT 4309) |
| Enumeration Date | 2007-12-20 |
| Last Update Date | 2008-01-29 |