| NPI | 1467077453 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN CONDEY BISHOP CEO 406-375-4409 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208VP0000X Pain Medicine Pain Medicine |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology Neurology |
| Enumeration Date | 2020-06-15 |
| Last Update Date | 2023-06-23 |