| NPI | 1053539536 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY C NEAL President 307-734-5999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 207X00000X Orthopaedic Surgery | |
| 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine | |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2014-10-22 |