| NPI | 1386713832 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TYLER W WEBER Chief Administrative Officer 406-751-7519 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology |
| Additional Taxonomies | 261QR0200X Clinic/Center Radiology |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2024-01-31 |