| NPI | 1306196209 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHEL SKAF President And CEO 307-277-3867 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 261QU0200X Clinic/Center, Urgent Care |
| 261QX0100X Clinic/Center, Occupational Medicine | |
| 291U00000X Clinical Medical Laboratory | |
| Enumeration Date | 2012-09-18 |
| Last Update Date | 2021-04-08 |