| NPI | 1598011306 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM S. FITTERMAN CEO/Medical Director 307-399-3119 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WY 7766A) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WY 7766A) |
| Enumeration Date | 2012-07-30 |
| Last Update Date | 2012-07-30 |