NPI | 1033766092 |
---|---|
Entity Type | Organization |
Authorized Contact | GRIFFIN ROBERT MYERS Cmo 307-264-2085 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 104100000X Social Worker |
1041C0700X Social Worker, Clinical | |
207QG0300X Family Medicine, Geriatric Medicine | |
207R00000X Internal Medicine | |
2084P0800X Psychiatry & Neurology, Psychiatry | |
2084P0805X Psychiatry & Neurology, Geriatric Psychiatry | |
261QP2300X Clinic/Center, Primary Care | |
363LA2100X Nurse Practitioner, Acute Care | |
363LA2200X Nurse Practitioner, Adult Health | |
363LF0000X Nurse Practitioner, Family | |
363LG0600X Nurse Practitioner, Gerontology | |
363LP0808X Nurse Practitioner, Psych/Mental Health | |
363LP2300X Nurse Practitioner, Primary Care | |
Enumeration Date | 2019-08-23 |
Last Update Date | 2023-06-29 |