| NPI | 1619383148 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARION BISHOP Co Director 307-789-3636 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207PE0004X Emergency Medicine, Emergency Medical Services |
| Enumeration Date | 2014-07-04 |
| Last Update Date | 2014-07-04 |