NPI | 1730208844 |
---|---|
Entity Type | Organization |
Authorized Contact | DAVID H ALLMACHER Owner 406-728-1563 |
Organization Subpart ? | No |
Primary Taxonomy | 174400000X Specialist (Licence: MT 10146) |
Additional Taxonomies | 174400000X Specialist (Licence: MT 4807) |
363LF0000X Nurse Practitioner, Family (Licence: MT RN18519) | |
363AS0400X Physician Assistant, Surgical (Licence: MT 492) | |
Enumeration Date | 2007-03-28 |
Last Update Date | 2013-06-13 |