NPI | 1427294792 |
---|---|
Entity Type | Organization |
Authorized Contact | MARC CHARLES MENTEL Physician/Owner 406-570-1639 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: MT 10584) |
Enumeration Date | 2008-12-16 |
Last Update Date | 2008-12-16 |