NPI | 1649803271 |
---|---|
Doing Business As | SOUTH LINCOLN MEDICAL CLINIC ROCK SPRINGS |
Entity Type | Organization |
Authorized Contact | KARL E SUNDBERG CEO 307-877-4401 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261Q00000X Clinic/Center |
Enumeration Date | 2020-02-21 |
Last Update Date | 2020-07-13 |