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 |