| NPI | 1467053090 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES SCOTT NEEDHAM Owner 406-690-2008 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| Enumeration Date | 2020-11-02 |
| Last Update Date | 2020-11-02 |