NPI | 1659443638 |
---|---|
Entity Type | Organization |
Authorized Contact | RICHARD LAWRENCE SELLMAN Owner Of Corporation 406-543-0550 |
Organization Subpart ? | No |
Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: MT 8613) |
Enumeration Date | 2006-11-14 |
Last Update Date | 2012-06-06 |