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 |