NPI | 1275070708 |
---|---|
Entity Type | Organization |
Authorized Contact | IRVING ROBINSON Owner/Director 307-751-2765 |
Organization Subpart ? | No |
Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care (Licence: WY 5548A) |
Enumeration Date | 2017-01-23 |
Last Update Date | 2017-09-25 |