| NPI | 1366735466 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN W MERCER Physician Owner 307-856-0382 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology |
| Additional Taxonomies | 208000000X Pediatrics |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2011-05-23 |
| Last Update Date | 2012-10-10 |