| NPI | 1922007202 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENT S WEBER Administrator 406-727-6311 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MT 4764,5327,8985,9832) |
| Enumeration Date | 2005-07-19 |
| Last Update Date | 2010-01-21 |