| NPI | 1083893127 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DALE R MYERS Owner 307-587-1155 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: WY 7160a) |
| Enumeration Date | 2007-10-25 |
| Last Update Date | 2011-10-24 |