NPI | 1730425471 |
---|---|
Doing Business As | BIG SANDY CLINIC |
Entity Type | Organization |
Authorized Contact | STEVEN TOMICH Board Chairman 307-273-3055 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2012-12-28 |
Last Update Date | 2024-11-13 |