| NPI | 1639359045 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRET COVEY BROWN Owner 307-778-7648 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: WY 2008109) |
| Enumeration Date | 2007-11-14 |
| Last Update Date | 2008-01-08 |