| NPI | 1316188337 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANNON VOIRIN SETZER President 406-587-7546 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Additional Taxonomies | 261Q00000X Clinic/Center (Licence: MT 11661) |
| Enumeration Date | 2009-03-20 |
| Last Update Date | 2025-02-20 |