NPI | 1770778144 |
---|---|
Entity Type | Organization |
Authorized Contact | JOYCE E STEVENS Dir Of Ancillary/Satellite Services 406-721-5600 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 103T00000X Psychologist |
363LP0200X Nurse Practitioner, Pediatrics | |
Enumeration Date | 2007-09-10 |
Last Update Date | 2007-12-04 |