| NPI | 1629208772 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS E SCARBOROUGH Owner 406-237-5500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: MT 10269) |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2009-07-23 |
| Last Update Date | 2023-11-15 |