| NPI | 1508063991 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA KAMIL ABUJABER AMMARI Doctor Owner 307-686-4900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center Rural Health (Licence: WY 5966A) |
| Enumeration Date | 2007-06-28 |
| Last Update Date | 2020-08-22 |