NPI | 1588843304 |
---|---|
Entity Type | Organization |
Authorized Contact | LADONNA KAY LADD Owner/Provider 406-761-5252 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MT RN23096) |
Enumeration Date | 2007-10-29 |
Last Update Date | 2007-10-29 |