| NPI | 1104630557 |
|---|---|
| Doing Business As | BLUE MOOSE PEDIATRICS |
| Entity Type | Organization |
| Authorized Contact | DANIEL COLSON Owner 406-404-8588 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2025-02-05 |
| Last Update Date | 2025-02-20 |