NPI | 1538390844 |
---|---|
Doing Business As | EVERGREEN CLINIC |
Entity Type | Organization |
Authorized Contact | JILL B RIPLEY Owner 406-756-7225 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center |
Enumeration Date | 2009-08-04 |
Last Update Date | 2009-08-04 |