| NPI | 1659537694 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LANNY BRUCE REIMER President 307-468-2302 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 261QR1300X Clinic/Center, Rural Health |
| Enumeration Date | 2008-07-30 |
| Last Update Date | 2010-04-28 |