NPI | 1316955909 |
---|---|
Entity Type | Organization |
Authorized Contact | GEORGE A STERN President 406-543-9200 |
Organization Subpart ? | No |
Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: MT 8180) |
Enumeration Date | 2006-08-03 |
Last Update Date | 2009-10-14 |