| NPI | 1174520993 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES SIGLER Administrator 307-577-2964 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical (Licence: WY 06-007) |
| Enumeration Date | 2005-07-07 |
| Last Update Date | 2010-06-23 |