| NPI | 1609133792 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDY SIBBITT Owner 406-449-3211 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0200X Clinic/Center, Radiology |
| Additional Taxonomies | 261QR0206X Clinic/Center, Radiology, Mammography |
| Enumeration Date | 2012-04-13 |
| Last Update Date | 2012-04-13 |