| NPI | 1710214036 |
|---|---|
| Doing Business As | WORLAND SURGERY CLINIC |
| Entity Type | Organization |
| Authorized Contact | GERALD E WEAVER Owner 307-347-2405 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: WY 5731a) |
| Enumeration Date | 2009-11-06 |
| Last Update Date | 2009-11-06 |