| NPI | 1750457933 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH BAUMSTARCK Doctor 307-548-6289 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center Rural Health (Licence: WY 5460A) |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2008-06-18 |