| NPI | 1982921854 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW D MCLAREN President 406-952-0420 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: MT 11260) |
| Additional Taxonomies | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: NC 200400236) |
| Enumeration Date | 2010-04-30 |
| Last Update Date | 2010-04-30 |