| NPI | 1558407312 |
|---|---|
| Doing Business As | PMG MT LIFESPAN FAMILY MED |
| Entity Type | Organization |
| Authorized Contact | TERI MASTERS Rcm Operations Mgr. 406-329-5795 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NA) |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2011-06-30 |