| NPI | 1366824930 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANNON LEE CHAPLA Manager 406-728-4292 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MT 18612) |
| Enumeration Date | 2015-06-19 |
| Last Update Date | 2015-06-19 |