| NPI | 1104410596 |
|---|---|
| Doing Business As | PINEDALE MEDICAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | KELLI ANN LOVELL Business Office Manager 307-367-0021 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 261QU0200X Clinic/Center, Urgent Care |
| Enumeration Date | 2021-02-25 |
| Last Update Date | 2023-06-07 |