| NPI | 1982286449 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAWN SUGG Fnp C 406-868-8177 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2021-04-24 |
| Last Update Date | 2026-02-02 |