| NPI | 1649573221 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS M BURKE President 307-577-4230 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WY 3300A) |
| Additional Taxonomies | 207QA0505X Family Medicine, Adult Medicine (Licence: WY 3302A) |
| Enumeration Date | 2010-12-21 |
| Last Update Date | 2010-12-21 |