| NPI | 1336454305 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDALL LUNDGREN President 406-586-1984 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NX0800X Chiropractor, Orthopedic (Licence: MT 708) |
| Enumeration Date | 2010-08-13 |
| Last Update Date | 2021-02-23 |