| NPI | 1235188046 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN P HARDY Owner 406-728-3811 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: MT 9593) |
| Enumeration Date | 2006-05-09 |
| Last Update Date | 2008-04-09 |