| NPI | 1699070193 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | W. CARLTON RECKLING Owner 307-632-6637 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: CO 41285) |
| Enumeration Date | 2011-01-14 |
| Last Update Date | 2011-01-14 |