| NPI | 1235670092 |
|---|---|
| Other Name | BANNER MEDICAL CLINIC WHEATLAND |
| Entity Type | Organization |
| Authorized Contact | ZACHARY MILLER CEO 307-534-7054 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Enumeration Date | 2017-03-13 |
| Last Update Date | 2024-08-28 |