| NPI | 1699806356 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRAIG J MCLAWS Director 307-672-3457 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: WY 94) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: WY 94) |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2009-11-13 |