| NPI | 1528202330 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM A TURK Dr 406-538-7703 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: MT MT359) |
| Enumeration Date | 2009-04-23 |
| Last Update Date | 2009-06-17 |