| NPI | 1346625571 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE SLOAN Certified Professional Coder 307-856-6530 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology |
| Enumeration Date | 2015-07-29 |
| Last Update Date | 2015-07-29 |