| NPI | 1376994012 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELE MOHR President 307-268-7717 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: WY 6715A) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WY 6715A) |
| Enumeration Date | 2016-06-23 |
| Last Update Date | 2023-11-14 |