| NPI | 1316053895 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC E TREVELLINE Owner/M.D. 406-327-4685 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MT 10322) |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2007-10-30 |