| NPI | 1780112862 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HASSAN MASSOUH Owner 406-461-2953 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MT 10582) |
| Additional Taxonomies | 2085R0204X Radiology, Vascular & Interventional Radiology |
| Enumeration Date | 2017-06-01 |
| Last Update Date | 2022-07-21 |