| NPI | 1649725532 |
|---|---|
| Former Legal Business Name | POWDER RIVER SURGERY CENTER |
| Entity Type | Organization |
| Authorized Contact | DALTON HUBER Chief Financial Officer 307-688-1523 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical (Licence: WY P-905) |
| Enumeration Date | 2016-08-20 |
| Last Update Date | 2016-08-20 |