| NPI | 1205005618 |
|---|---|
| Doing Business As | YELLOWSTONE SPORTS MEDICINE |
| Entity Type | Organization |
| Authorized Contact | JIMMIE GENE BILES Managing Member 307-578-1953 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: WY 3909A) |
| Enumeration Date | 2008-02-29 |
| Last Update Date | 2009-05-05 |