NPI | 1497059638 |
---|---|
Entity Type | Organization |
Authorized Contact | LAURA MARX Family Nurse Practitioner 406-546-3043 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: MT APN22313) |
Enumeration Date | 2011-01-03 |
Last Update Date | 2011-01-03 |