| NPI | 1841490661 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID MARK HAYES Owner/Medical Director 406-541-7546 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207YX0007X Otolaryngology Plastic Surgery within the Head & Neck (Licence: MT 5281) |
| Enumeration Date | 2007-07-19 |
| Last Update Date | 2007-07-19 |