| NPI | 1831867241 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW WOLPOE Owner Provider 406-281-4392 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207YX0007X Otolaryngology, Plastic Surgery within the Head & Neck |
| Enumeration Date | 2021-08-31 |
| Last Update Date | 2021-08-31 |