| NPI | 1306187398 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARRY D. WALKER Director 406-556-1900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QX0100X Clinic/Center, Occupational Medicine (Licence: MT 117) |
| Additional Taxonomies | 261QX0100X Clinic/Center, Occupational Medicine (Licence: MT 264) |
| Enumeration Date | 2013-03-15 |
| Last Update Date | 2013-03-15 |