| NPI | 1962775411 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN ANTHONY VALLIN Physician 406-223-2497 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: MT 8070) |
| Enumeration Date | 2012-02-14 |
| Last Update Date | 2012-02-14 |