| NPI | 1245164417 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEKRISHA LEW Owner/Physician 406-404-3540 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 208000000X Pediatrics |
| Enumeration Date | 2026-06-11 |
| Last Update Date | 2026-07-23 |