| NPI | 1700900719 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LANNY B REIMER President 307-746-3582 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 261QR1300X Clinic/Center, Rural Health |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2010-04-29 |