| NPI | 1215024435 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDON HAWK Owner 406-799-6786 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MT RN 11415) |
| Enumeration Date | 2006-10-08 |
| Last Update Date | 2023-10-13 |