| NPI | 1619153038 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROGER M BRECHEEN President 307-733-5676 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: WY 5262A) |
| Additional Taxonomies | 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: WY 5262A) |
| Enumeration Date | 2008-01-16 |
| Last Update Date | 2008-03-19 |