| NPI | 1326089137 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES L JOHNSON President 307-527-7129 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: WY 6172A) |
| Enumeration Date | 2006-06-10 |
| Last Update Date | 2020-10-01 |