| NPI | 1811527732 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY KAIN COO 406-788-2298 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology |
| Additional Taxonomies | 207K00000X Allergy & Immunology |
| Enumeration Date | 2020-01-20 |
| Last Update Date | 2021-11-22 |