| NPI | 1780517524 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARI JEAN TWIGG Single Member Owner 406-201-0420 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Additional Taxonomies | 2083B0002X Preventive Medicine, Obesity Medicine |
| Enumeration Date | 2026-06-03 |
| Last Update Date | 2026-06-03 |