| NPI | 1962483610 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERIE A CLOS Office Manager 406-728-7777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MT 577CHI) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: MT 588CHI) |
| Enumeration Date | 2005-11-09 |
| Last Update Date | 2020-08-22 |