NPI | 1265605398 |
---|---|
Doing Business As | POWDER RIVER MEDICAL CLINIC |
Entity Type | Organization |
Authorized Contact | LEROY N BIESHEUVEL Physician's Assistant 406-436-2651 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health (Licence: MT 17) |
Enumeration Date | 2008-04-09 |
Last Update Date | 2008-04-09 |