| NPI | 1710087689 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW D. CHYNOWETH Md 307-473-8173 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 170100000X Medical Genetics, Ph.D. Medical Genetics (Licence: WY 7192A) |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2021-10-19 |