| NPI | 1457609935 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROGER GOSSER CEO 307-256-2155 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RA0000X Internal Medicine, Adolescent Medicine (Licence: WY 2345a) |
| Enumeration Date | 2012-08-15 |
| Last Update Date | 2012-09-18 |