| NPI | 1497704860 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDEE DESLAURIERS Business Manager 406-587-8631 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 261QR0200X Clinic/Center Radiology (Licence: MT 7873) |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2024-08-12 |