| NPI | 1700123288 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT A CAMPBELL Physician/Owner 307-335-4104 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Enumeration Date | 2013-01-03 |
| Last Update Date | 2013-01-03 |