| NPI | 1902823917 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMILIANA DIAZ Compliance Officer 406-324-9401 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation |
| Enumeration Date | 2006-07-16 |
| Last Update Date | 2024-08-27 |