| NPI | 1902830169 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNIE J. FANG President 406-356-3178 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: CA A75496) |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2020-08-22 |