| NPI | 1649970526 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERALD GRAY Chairman 406-315-2400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 208000000X Pediatrics |
| 122300000X Dentist | |
| 207Q00000X Family Medicine | |
| 207R00000X Internal Medicine | |
| Enumeration Date | 2023-03-08 |
| Last Update Date | 2025-08-27 |