NPI | 1093878837 |
---|---|
Doing Business As | WESTERN MEDICAL ASSOCIATES, LLC |
Entity Type | Organization |
Authorized Contact | TIMOTHY N FRARY Partner 307-577-5100 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 363A00000X Physician Assistant |
363LF0000X Nurse Practitioner Family | |
Enumeration Date | 2006-12-19 |
Last Update Date | 2020-08-22 |