NPI | 1649519554 |
---|---|
Entity Type | Organization |
Authorized Contact | AMY TORTORICH President 307-459-2626 |
Organization Subpart ? | No |
Primary Taxonomy | 207RC0200X Internal Medicine Critical Care Medicine (Licence: WY 8534A) |
Enumeration Date | 2013-02-13 |
Last Update Date | 2021-08-11 |