| NPI | 1346941424 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GRIFFIN MYERS Md, Cmo 307-264-2085 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207R00000X Internal Medicine | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2023-03-15 |
| Last Update Date | 2023-06-30 |