| NPI | 1346288347 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLEEN ROSSIE QUINONES CFO 406-435-6445 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 207RP1001X Internal Medicine Pulmonary Disease | |
| 261QR0200X Clinic/Center Radiology | |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2023-01-31 |