| NPI | 1063575611 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM A FITZGERALD Executive Vice President 307-688-1520 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WY 08-183) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: WY 08-183) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: WY 08-183) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WY 08-183) | |
| 2085R0001X Radiology, Radiation Oncology (Licence: WY 08-183) | |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2007-09-20 |