| 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 |