| NPI | 1770681991 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HUGH ELLIOTT HETHERINGTON President/Owner 406-522-3770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207YS0123X Otolaryngology, Facial Plastic Surgery (Licence: MT 6361) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2020-08-22 |