| NPI | 1538565924 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC MUNOZ President 307-237-2300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: WY 6217A) |
| Enumeration Date | 2014-11-12 |
| Last Update Date | 2014-11-12 |