| NPI | 1538200761 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KURT LEROY HUNTER Owner President 307-382-7414 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WY 6113A) |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory (Licence: WY CLIA53D0972961) |
| Enumeration Date | 2007-02-09 |
| Last Update Date | 2013-03-08 |