| NPI | 1568583391 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDALL G HOLOM CEO 406-228-3601 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208600000X Surgery |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MT 11017) |
| 207X00000X Orthopaedic Surgery | |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2015-07-06 |