| NPI | 1215361761 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL K GARVER CEO 406-770-3000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MT 47073) |
| Enumeration Date | 2013-09-01 |
| Last Update Date | 2016-12-27 |