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 |