| NPI | 1841320629 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY L BANKS Vice President 406-587-0704 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: MT 15264) |
| 208600000X Surgery (Licence: MT 4000) | |
| 208600000X Surgery (Licence: MT 6438) | |
| 208600000X Surgery (Licence: MT 9898) | |
| 208600000X Surgery (Licence: MT 10338) | |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2011-08-22 |