NPI | 1972090181 |
---|---|
Doing Business As | BLUE APPLE WALK IN |
Entity Type | Organization |
Authorized Contact | WADE ANTHONY DARR Operator 406-600-5039 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: ND 643) |
Enumeration Date | 2018-04-13 |
Last Update Date | 2024-06-14 |