| NPI | 1699099903 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN J AYRES Owner 406-455-6677 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MT 8622) |
| Enumeration Date | 2010-03-16 |
| Last Update Date | 2010-03-16 |