| NPI | 1467784447 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONI RUX Office Manager 307-333-6910 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 208D00000X General Practice | |
| Enumeration Date | 2010-02-02 |
| Last Update Date | 2020-03-20 |