NPI | 1053196592 |
---|---|
Doing Business As | POWDER HORN EYE CARE |
Entity Type | Organization |
Authorized Contact | JASON B WHITMAN Clinical Director 307-439-0100 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center |
Enumeration Date | 2023-08-31 |
Last Update Date | 2023-08-31 |