| NPI | 1568418192 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN WAYNE FINLEY C.E.O. 307-673-4960 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: WY 240) |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2013-06-04 |