| NPI | 1730407495 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARCY LEE CARTER Billing Manager 307-778-2860 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: WY 6491A) |
| Enumeration Date | 2010-05-05 |
| Last Update Date | 2010-05-05 |