| NPI | 1568236644 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY HUA Medical Director 406-272-2376 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics Pediatric Cardiology |
| Additional Taxonomies | 208000000X Pediatrics |
| Enumeration Date | 2023-11-09 |
| Last Update Date | 2023-11-09 |