| NPI | 1679164149 |
|---|---|
| Doing Business As | MOUNTAIN STATES PRECISION HEALTHCARE |
| Entity Type | Organization |
| Authorized Contact | HAYLEY ANN MILLER Owner, Director 206-459-0334 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2021-01-28 |
| Last Update Date | 2021-05-18 |