| NPI | 1659389906 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD W PUCHTA President 406-752-7289 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center Health Service (Licence: MT 841CHI) |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2020-08-22 |