| NPI | 1366627341 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS F BEESON Owner 406-233-2543 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: MT 6915) |
| Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery (Licence: MT 6915) |
| Enumeration Date | 2008-01-08 |
| Last Update Date | 2008-01-08 |