| NPI | 1861504102 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAULA J HANIG Medical Billing Agent 406-443-3076 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MT 9615) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2020-08-22 |