| 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 |