| NPI | 1275701351 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN R TKACH President 406-587-5442 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center Medical Specialty (Licence: MT 3871) |
| Enumeration Date | 2008-02-12 |
| Last Update Date | 2013-04-22 |