| NPI | 1457647877 |
|---|---|
| Doing Business As | GLACIER NEUROSCIENCE AND SPINE CENTER |
| Entity Type | Organization |
| Authorized Contact | VELINDA J STEVENS CEO/President 406-752-1724 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology |
| Enumeration Date | 2011-06-23 |
| Last Update Date | 2011-06-29 |