| NPI | 1992253074 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON ROUNTREE Owner 406-314-6400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: MT CHI-CHI-LIC-1242) |
| 208D00000X General Practice (Licence: MT NUR-APRN-LIC-127106) | |
| Enumeration Date | 2016-09-16 |
| Last Update Date | 2023-10-17 |