| NPI | 1619054681 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT G BUTLER Administrator 406-723-1300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MT 1074257) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2012-05-18 |