| NPI | 1871737965 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHOLAS JOHN OKON Owner 406-237-5545 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084V0102X Psychiatry & Neurology Vascular Neurology (Licence: MT 8398) |
| Enumeration Date | 2009-04-21 |
| Last Update Date | 2009-04-21 |