| NPI | 1700236478 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GRIFFIN MYERS Chief Medical Officer 307-264-2085 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207R00000X Internal Medicine | |
| 207RG0300X Internal Medicine, Geriatric Medicine | |
| Enumeration Date | 2016-06-14 |
| Last Update Date | 2023-06-29 |