| NPI | 1003157868 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIPP BRADLEY WEBB Owner 406-237-5888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MT 6084) |
| Enumeration Date | 2013-03-04 |
| Last Update Date | 2013-03-04 |