| NPI | 1114017167 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAM T SCALING President 307-577-4225 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: WY 2811A) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: WY 6581A) |
| 207V00000X Obstetrics & Gynecology (Licence: WY 6681A) | |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2008-10-01 |