| NPI | 1437416443 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL SURDAM Chief Medical Officer 307-773-8133 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care (Licence: WY 7206A) |
| Enumeration Date | 2012-04-15 |
| Last Update Date | 2012-06-25 |