| NPI | 1598069429 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MINDY OPPER Physician Assistant 406-240-0604 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: MT 37) |
| Enumeration Date | 2011-01-06 |
| Last Update Date | 2011-01-06 |