| NPI | 1609064013 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM J GRABER Owner 406-543-1967 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2088P0231X Urology, Pediatric Urology (Licence: MT G47576) |
| Enumeration Date | 2007-10-10 |
| Last Update Date | 2007-10-10 |