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 |