| NPI | 1528753126 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SIMON HALLIDAY CEO 307-278-9811 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Enumeration Date | 2023-04-10 |
| Last Update Date | 2023-05-30 |