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Organization

BASE VITALITY PLLC

Active
Other names
Base Vitality PLLC
Organization subpart
No

Provider details

NPI number
Authorized official
ANDREA EMDE ND, DC (DOCTOR)
(406) 220-5058
Entity
Organization

Contact information

Practice address
103 PONDEROSA LN, KALISPELL, MT 59901-6833
(406) 220-5058
Mailing address
103 PONDEROSA LN, KALISPELL, MT 59901-6833
(406) 220-5058

Taxonomy

Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary

Other

Enumeration date
03/10/2025
Last updated
03/10/2025
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