| NPI | 1588266027 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACY LEA NEWBERN Family Nurse Practitioner 406-654-1953 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2020-11-10 |
| Last Update Date | 2020-11-10 |