NPI | 1679159453 |
---|---|
Doing Business As | PERFORMANCE HEALTH |
Entity Type | Organization |
Authorized Contact | RYLAND WEUM Owner 406-449-7500 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care |
Additional Taxonomies | 111N00000X Chiropractor |
Enumeration Date | 2021-03-22 |
Last Update Date | 2022-03-09 |