| NPI | 1467657965 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VINCENT SIRAGUSA Physician 406-782-4531 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MT 9733) |
| Enumeration Date | 2007-06-15 |
| Last Update Date | 2007-07-25 |