| NPI | 1295999019 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL J STRAHAN Owner 307-672-8921 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 363A00000X Physician Assistant | |
| 363LP2300X Nurse Practitioner, Primary Care | |
| Enumeration Date | 2008-07-10 |
| Last Update Date | 2009-12-16 |