| NPI | 1922807304 |
|---|---|
| Doing Business As | BASE VITALITY PLLC |
| Entity Type | Organization |
| Authorized Contact | ANDREA EMDE Doctor 406-220-5058 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2025-03-10 |
| Last Update Date | 2025-03-10 |