| NPI | 1447449020 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER MICHAEL LOWTHER Owner 307-587-7000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: WY 5252A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WY 5252A) |
| Enumeration Date | 2007-10-18 |
| Last Update Date | 2023-04-04 |