NPI | 1669350195 |
---|---|
Doing Business As | NORTHWEST DIRECT PRIMARY CARE & HEADACHE |
Entity Type | Organization |
Authorized Contact | MICHAEL STEWART Owner 307-349-6005 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine |
Enumeration Date | 2025-08-22 |
Last Update Date | 2025-08-22 |