| NPI | 1396462503 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESA MILLER Administrative Director 406-625-0034 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology |
| Enumeration Date | 2022-10-27 |
| Last Update Date | 2023-07-13 |