| NPI | 1447207212 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMANTHA SPENCER Administrator 406-721-4436 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-05-27 |
| Last Update Date | 2015-12-03 |