| NPI | 1316908940 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY RHEA President 307-265-1620 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology |
| Additional Taxonomies | 2085R0204X Radiology Vascular & Interventional Radiology |
| 2086S0129X Surgery Vascular Surgery | |
| Enumeration Date | 2006-03-31 |
| Last Update Date | 2024-06-17 |