| NPI | 1215968185 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACK E. BELL Vice President/COO 406-237-3065 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center Medical Specialty (Licence: MT 9717) |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2020-08-22 |