NPI | 1942064720 |
---|---|
Entity Type | Organization |
Authorized Contact | MARIA MCNEIL WILLIAMS Nurse Practitioner 406-360-3161 |
Organization Subpart ? | No |
Primary Taxonomy | 207QA0401X Family Medicine, Addiction Medicine |
Additional Taxonomies | 207Q00000X Family Medicine |
Enumeration Date | 2024-02-12 |
Last Update Date | 2024-02-12 |