| NPI | 1427243971 |
|---|---|
| Doing Business As | THE CLINIC AT WAL-MART BY KRMC |
| Entity Type | Organization |
| Authorized Contact | ANGELA D STJOHN Fnp 406-751-6533 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MT 19254) |
| Enumeration Date | 2007-09-07 |
| Last Update Date | 2010-11-04 |