| NPI | 1174259865 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARGARET E. (BETH) ALLEN Director Of Billing 307-773-8237 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 2084N0400X Psychiatry & Neurology Neurology | |
| 208M00000X Hospitalist | |
| 363LA2100X Nurse Practitioner Acute Care | |
| 363LG0600X Nurse Practitioner Gerontology | |
| Enumeration Date | 2022-07-26 |
| Last Update Date | 2022-07-26 |