| NPI | 1508351040 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAULA SUZANNE COLLEDGE Owner/Provider 406-531-2978 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083X0100X Preventive Medicine, Occupational Medicine |
| Additional Taxonomies | 261QU0200X Clinic/Center, Urgent Care |
| 363A00000X Physician Assistant | |
| 207Q00000X Family Medicine | |
| Enumeration Date | 2018-06-27 |
| Last Update Date | 2018-06-27 |