| NPI | 1730425471 |
|---|---|
| Doing Business As | BIG SANDY CLINIC |
| Entity Type | Organization |
| Authorized Contact | SHIRLEY R DELAMBERT Clinic Assistant Director 307-273-3055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 173000000X Legal Medicine |
| Enumeration Date | 2012-12-28 |
| Last Update Date | 2013-11-07 |