| 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 |