| NPI | 1598762965 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HARLAN R RIBNIK Physician Owner 307-633-8100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: WY 4305A) |
| Enumeration Date | 2005-06-30 |
| Last Update Date | 2020-08-22 |