| NPI | 1295863017 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLA CATHERINE FRITZ Partner 406-995-2797 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QS0010X Family Medicine, Sports Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2009-09-16 |