NPI | 1730325440 |
---|---|
Doing Business As | PMG MT MONTANA INTERNAL MED |
Entity Type | Organization |
Authorized Contact | KIRK BODLOVIC CFO 406-327-1918 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MT 0411866) |
Enumeration Date | 2008-12-30 |
Last Update Date | 2013-11-22 |