| NPI | 1437495561 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JILL-MARIE STEELEY Executive Director 406-457-8956 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 363AM0700X Physician Assistant Medical (Licence: MT 20541) |
| Enumeration Date | 2012-12-18 |
| Last Update Date | 2022-07-21 |