| NPI | 1578895207 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT JOSEPH MORLEDGE-HAMPTON Medical Director 406-294-1994 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2010-02-05 |
| Last Update Date | 2014-05-14 |