| NPI | 1033342563 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS E SPICER Owner 307-362-8211 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: WY 2513A) |
| Enumeration Date | 2009-09-01 |
| Last Update Date | 2009-09-01 |