| NPI | 1124323480 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS CLIFFORD DAVIS Owner, Medical Doctor 307-686-7346 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: WY 7762A) |
| Additional Taxonomies | 207RS0012X Internal Medicine Sleep Medicine (Licence: WY 7762A) |
| Enumeration Date | 2011-01-18 |
| Last Update Date | 2011-01-18 |