| NPI | 1083484877 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN D. MCEWEN Family Nurse Practitioner 406-261-4062 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2024-01-03 |
| Last Update Date | 2024-01-15 |