| NPI | 1932395084 |
|---|---|
| Doing Business As | PONDEROSA MEDICAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | TERRY ALLEN SMITH Owner 406-822-4100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: MT 7350) |
| Enumeration Date | 2007-09-22 |
| Last Update Date | 2007-10-18 |