| NPI | 1598751075 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES ANDERSON President 307-577-4220 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Additional Taxonomies | 208C00000X Colon & Rectal Surgery |
| 2086S0129X Surgery, Vascular Surgery | |
| Enumeration Date | 2005-09-21 |
| Last Update Date | 2015-07-10 |