| NPI | 1841055399 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENJAMIN LAWSON Owner 406-329-6123 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology |
| Additional Taxonomies | 261QM2500X Clinic/Center, Medical Specialty |
| Enumeration Date | 2024-02-14 |
| Last Update Date | 2024-08-19 |