| NPI | 1669039640 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK G MURPHY Owner 307-358-6200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2019-05-24 |
| Last Update Date | 2019-05-24 |