| NPI | 1801273636 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEREMIAH L WATT Business Owner 406-781-3323 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: MT 1670537) |
| Enumeration Date | 2015-04-30 |
| Last Update Date | 2015-07-15 |