| NPI | 1730477266 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHEL SKAF President And CEO 307-277-3867 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QU0200X Clinic/Center Urgent Care |
| Additional Taxonomies | 261QP2300X Clinic/Center Primary Care |
| Enumeration Date | 2011-07-19 |
| Last Update Date | 2012-06-01 |