NPI | 1275515157 |
---|---|
Entity Type | Organization |
Authorized Contact | JAYNE L RASMUSSEN Executive Director 406-522-1141 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: MT 10413) |
Enumeration Date | 2005-11-16 |
Last Update Date | 2020-08-22 |