| NPI | 1467641266 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY JOZWIAK Owner 406-237-5554 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MT 8391) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: MT 8391) |
| Enumeration Date | 2007-10-17 |
| Last Update Date | 2007-10-17 |