NPI | 1407043474 |
---|---|
Entity Type | Organization |
Authorized Contact | CHARLES B ANDERSON Physician 406-495-7278 |
Organization Subpart ? | No |
Primary Taxonomy | 204C00000X Neuromusculoskeletal Medicine, Sports Medicine |
Enumeration Date | 2007-10-03 |
Last Update Date | 2007-11-14 |