| NPI | 1194210328 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARGUERITE HARDY Authorized Official 307-234-9657 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: WY TL4408) |
| Enumeration Date | 2018-06-29 |
| Last Update Date | 2018-06-29 |