| NPI | 1568894020 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRENCE M. SCOTT Owner 406-723-4026 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: MT 4130) |
| Enumeration Date | 2013-08-06 |
| Last Update Date | 2013-08-06 |