NPI | 1508456799 |
---|---|
Doing Business As | LOGAN HEALTH BREAST CENTER |
Entity Type | Organization |
Authorized Contact | WILLIAM D GIBSON General Counsel 406-752-1724 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center |
Enumeration Date | 2021-01-21 |
Last Update Date | 2021-03-02 |