| NPI | 1295759660 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK J MC GINLEY Owner 307-266-3005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: WY 6869A) |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2020-08-22 |