| NPI | 1477625721 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIM HACKL President 406-586-0802 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MT RN20815) |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2020-08-22 |