| NPI | 1528113180 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUE REENE REED Office Manager 307-673-6300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: WY 6950A) |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2011-01-31 |