| NPI | 1669350195 |
|---|---|
| Doing Business As | NORTHWEST DIRECT PRIMARY CARE & HEADACHE |
| Doing Business As | NORTHWEST DPC & 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 | 2025-11-03 |