| NPI | 1528411212 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIAD T CULCEA Owner 406-315-5950 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: MT MED-PHYS-LIC-10572) |
| Additional Taxonomies | 174400000X Specialist (Licence: MT MED-PHYS-LIC10858) |
| 2084E0001X Psychiatry & Neurology, Epilepsy | |
| 2084N0008X Psychiatry & Neurology, Neuromuscular Medicine | |
| 2084N0400X Psychiatry & Neurology, Neurology | |
| Enumeration Date | 2016-07-18 |
| Last Update Date | 2022-12-09 |