NPI | 1477737336 |
---|---|
Entity Type | Organization |
Authorized Contact | PATRICIA A GRANTHAM Office Manager 406-683-4252 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology |
Enumeration Date | 2007-12-27 |
Last Update Date | 2007-12-27 |