| NPI | 1316101405 |
|---|---|
| Doing Business As | SAGEBRUSH ENT |
| Entity Type | Organization |
| Authorized Contact | WILLIAM ANDREW FITZGERALD Executive Vice President 307-688-1520 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology |
| Enumeration Date | 2008-07-17 |
| Last Update Date | 2011-03-17 |