| NPI | 1376711002 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BONNIE S. HUNT Clinic Manager 307-265-4021 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: WY MC0435873) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: WY MB0379405) |
| 363A00000X Physician Assistant (Licence: WY MP0396348) | |
| 363A00000X Physician Assistant (Licence: WY MB1352018) | |
| 363L00000X Nurse Practitioner (Licence: WY MB1519733) | |
| 363L00000X Nurse Practitioner (Licence: WY MG1201603) | |
| Enumeration Date | 2008-02-15 |
| Last Update Date | 2008-02-15 |