| NPI | 1497820559 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TYLER L. WILL President 406-452-5057 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology |
| Additional Taxonomies | 2085N0904X Radiology, Nuclear Radiology |
| 2085R0204X Radiology, Vascular & Interventional Radiology | |
| 2085U0001X Radiology, Diagnostic Ultrasound | |
| Enumeration Date | 2006-11-22 |
| Last Update Date | 2019-09-06 |