| NPI | 1740693761 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEANN DOUGLAS PFS Credentialing COO Rdinator 406-414-1826 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center Urgent Care |
| Enumeration Date | 2014-06-06 |
| Last Update Date | 2021-07-14 |