| NPI | 1629424643 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEY A DUTY Owner 406-471-9998 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: MT 516) |
| Enumeration Date | 2016-05-09 |
| Last Update Date | 2016-05-09 |