| NPI | 1104032416 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANKLIN MUSSER RIVERS President 307-739-8999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care (Licence: WY 5551A) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WY 5551A) |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2008-04-18 |