| NPI | 1942820295 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLEEN CARTER Owner, Authorized Official 406-883-4325 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207K00000X Allergy & Immunology |
| Enumeration Date | 2020-04-16 |
| Last Update Date | 2020-04-16 |