| NPI | 1184135352 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN D BRAGG Physician Owner 307-742-9116 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 208000000X Pediatrics | |
| 208800000X Urology | |
| Enumeration Date | 2017-10-16 |
| Last Update Date | 2017-10-16 |