| NPI | 1215127485 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY PAUL HARVEY President 406-728-4292 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MT 7259) |
| Enumeration Date | 2007-07-25 |
| Last Update Date | 2025-03-17 |