| NPI | 1497009294 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK RICHARD MILES President 406-788-8860 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: AK 6498) |
| Enumeration Date | 2012-10-31 |
| Last Update Date | 2013-03-19 |