NPI | 1881830610 |
---|---|
Former Legal Business Name | BENEFIS PHYSICIAN ASSOCIATES, INC. |
Entity Type | Organization |
Authorized Contact | JERRY W. SPEER President 406-455-2920 |
Organization Subpart ? | No |
Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: MT 9761) |
Enumeration Date | 2008-12-29 |
Last Update Date | 2010-11-22 |