| NPI | 1669187563 |
|---|---|
| Doing Business As | MONTANA SKIN & LASER AND CENTER FOR WEIGHT MANAGEMENT |
| Entity Type | Organization |
| Authorized Contact | JACQUELINE COOKE Owner 406-788-6300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2023-01-16 |
| Last Update Date | 2023-04-21 |