| NPI | 1699721316 |
|---|---|
| Doing Business As | POWELL VALLEY CLINIC |
| Entity Type | Organization |
| Authorized Contact | TERRY ODOM CEO 307-754-2267 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207L00000X Anesthesiology |
| 207P00000X Emergency Medicine | |
| 207R00000X Internal Medicine | |
| 207V00000X Obstetrics & Gynecology | |
| 207X00000X Orthopaedic Surgery | |
| 207XS0106X Orthopaedic Surgery Hand Surgery | |
| 208000000X Pediatrics | |
| 2085R0202X Radiology Diagnostic Radiology | |
| 208600000X Surgery | |
| 261QU0200X Clinic/Center Urgent Care | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2020-10-23 |