| NPI | 1558614818 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID E HOFFMAN President 307-548-9123 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: WY 4296A) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WY 4296A) |
| 208D00000X General Practice (Licence: WY 4296A) | |
| Enumeration Date | 2012-10-23 |
| Last Update Date | 2020-05-28 |