| NPI | 1124235759 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE R LEMMON Office Manager 307-578-1985 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: WY 6448A) |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2013-09-13 |