| NPI | 1619972106 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT T TERRY Physician 406-237-5001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: MT 6456) |
| Enumeration Date | 2005-06-20 |
| Last Update Date | 2011-07-06 |