NPI | 1336386721 |
---|---|
Entity Type | Organization |
Authorized Contact | STEVEN LR SHANEYFELT President 406-586-0103 |
Organization Subpart ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MT 4928) |
Enumeration Date | 2009-01-07 |
Last Update Date | 2009-01-07 |