| NPI | 1336781822 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERE KOLSTAD Owner 406-926-6950 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083P0500X Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine |
| Enumeration Date | 2019-10-16 |
| Last Update Date | 2019-10-16 |