| NPI | 1295000644 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHREN ELAINE MCGREE Physician 406-782-2239 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: MT 12694) |
| Enumeration Date | 2012-03-19 |
| Last Update Date | 2012-03-20 |