| NPI | 1255562690 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JARED BRECK BARTON General Surgeon/Owner 307-789-8721 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: WY TL1200) |
| Enumeration Date | 2009-08-03 |
| Last Update Date | 2009-08-14 |