| NPI | 1447492459 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOWELL R QUENEMOEN President 406-238-6670 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: WY 6033A) |
| Enumeration Date | 2009-04-06 |
| Last Update Date | 2009-04-06 |