NPI | 1639105398 |
---|---|
Entity Type | Organization |
Authorized Contact | ANN MARIE DOLL Sole Proprietor 406-453-1008 |
Organization Subpart ? | No |
Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: MT 22029) |
Enumeration Date | 2006-06-24 |
Last Update Date | 2020-08-22 |