NPI | 1790902310 |
---|---|
Doing Business As | B. MAX IVERSON |
Entity Type | Organization |
Authorized Contact | DOYD M. IVERSON Owner 406-266-3186 |
Organization Subpart ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: MT 6096) |
Enumeration Date | 2007-04-18 |
Last Update Date | 2008-07-28 |