| NPI | 1306390232 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY A ZUCKERMAN Owner 307-764-2322 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085U0001X Radiology Diagnostic Ultrasound (Licence: WY 8444A) |
| Enumeration Date | 2016-08-09 |
| Last Update Date | 2016-08-09 |