NPI | 1952554578 |
---|---|
Entity Type | Organization |
Authorized Contact | MARY ELAINE CORCORAN Diabetes Coordinator 406-395-4064 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: MT RN20314) |
Enumeration Date | 2008-10-28 |
Last Update Date | 2008-10-28 |