| NPI | 1306857917 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY BROE, CPC, CPPM, OCS Billing Director 406-541-3806 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology |
| Additional Taxonomies | 207YX0602X Otolaryngology, Otolaryngic Allergy |
| 231H00000X Audiologist | |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2024-04-22 |