NPI | 1912235631 |
---|---|
Entity Type | Organization |
Authorized Contact | CONNIE REICHELT Owner 406-378-2508 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: MT 24903RN) |
Enumeration Date | 2009-11-19 |
Last Update Date | 2009-11-19 |