| NPI | 1124123815 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN A WHIPP Owner 307-332-9720 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: WY 0550060001) |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2008-01-25 |