| NPI | 1811013345 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY WILLIAM URELL Medical Director 406-761-6100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MT 10251) |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2009-06-16 |