| 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 |