| NPI | 1942789052 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA REA HAUGO Physician 406-360-2101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: MT 12829) |
| Enumeration Date | 2018-08-09 |
| Last Update Date | 2018-08-09 |