| NPI | 1922056621 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENDA HUSTON Billing Manager 406-541-7139 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2008-03-17 |