| NPI | 1710020029 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIALL PATRICK MADIGAN Owner 406-862-5355 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2020-08-22 |