| NPI | 1326206616 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRINA RENE' NATION Nurse Specialist 307-332-7300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center Health Service (Licence: WY 9336) |
| Enumeration Date | 2008-05-23 |
| Last Update Date | 2008-05-23 |