| NPI | 1992035349 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT LEROY LARSON Owner/Provider 406-655-0101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MT C 270) |
| Enumeration Date | 2010-01-07 |
| Last Update Date | 2010-03-01 |