NPI | 1902823917 |
---|---|
Entity Type | Organization |
Authorized Contact | BOYD M IVERSON Physician 406-457-4100 |
Organization Subpart ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery |
Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation |
Enumeration Date | 2006-07-16 |
Last Update Date | 2021-10-28 |