| NPI | 1104648211 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRITTANY JEAN COBURN Family Nurse Practitioner/Co Owner 406-501-6570 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207RG0100X Internal Medicine Gastroenterology |
| Enumeration Date | 2024-10-29 |
| Last Update Date | 2024-10-29 |