| NPI | 1457731705 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATHAN A SANDERS President 406-465-7646 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207YS0123X Otolaryngology, Facial Plastic Surgery (Licence: MT 21215) |
| Enumeration Date | 2015-06-02 |
| Last Update Date | 2015-06-02 |