| NPI | 1659577898 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTONIO SANTIN President 406-727-6363 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: MT 7778) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: MT 7778) |
| Enumeration Date | 2007-06-25 |
| Last Update Date | 2008-02-22 |