NPI | 1609133024 |
---|---|
Entity Type | Organization |
Authorized Contact | THAD E GIBLETTE Owner 406-654-2000 |
Organization Subpart ? | No |
Primary Taxonomy | 163WG0000X Registered Nurse, General Practice (Licence: MT 25089) |
Enumeration Date | 2012-04-23 |
Last Update Date | 2012-04-23 |