| NPI | 1144942830 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WHITNEY KAY HASEMAN Owner 406-272-3746 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2022-09-19 |
| Last Update Date | 2024-06-05 |