| NPI | 1649211103 |
|---|---|
| Doing Business As | PEDIATRIC SPECIALTY CLINIC |
| Entity Type | Organization |
| Authorized Contact | PAM PALAGI VP Finance 406-723-2414 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261Q00000X (Licence: MT 9717) |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2020-11-24 |