NPI | 1245747872 |
---|---|
Doing Business As | RED ROCK FAMILY PRACTICE |
Entity Type | Organization |
Authorized Contact | SHELLY L LARSON CFO 307-864-5019 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
Enumeration Date | 2018-01-04 |
Last Update Date | 2018-01-04 |