| NPI | 1023710597 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN DANIELS Owner 406-587-5870 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 261QU0200X Clinic/Center Urgent Care |
| Enumeration Date | 2023-03-20 |
| Last Update Date | 2023-03-20 |