| NPI | 1407878549 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENNAN DODSON Owner 406-556-9798 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology |
| Additional Taxonomies | 261QM2500X Clinic/Center, Medical Specialty |
| 174400000X Specialist | |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2023-12-07 |