| NPI | 1770802738 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAYMOND A KAUFMAN Owner 406-494-0188 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery (Licence: MT 5047) |
| Enumeration Date | 2010-05-28 |
| Last Update Date | 2010-05-28 |