| NPI | 1275044380 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHEL W SKAF CEO 307-337-4284 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| 261QU0200X Clinic/Center Urgent Care | |
| Enumeration Date | 2017-10-16 |
| Last Update Date | 2017-10-16 |