| NPI | 1679859797 |
|---|---|
| Doing Business As | ST. JOHN'S FOUR PEAKS CLINIC |
| Entity Type | Organization |
| Authorized Contact | JOHN J. KREN CFO 307-739-7526 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208D00000X General Practice (Licence: WY 09-179) |
| Enumeration Date | 2011-11-03 |
| Last Update Date | 2013-08-12 |