| NPI | 1639158645 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL BRABY President 406-541-3277 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: MT 10470) |
| Enumeration Date | 2006-01-10 |
| Last Update Date | 2009-11-19 |