| NPI | 1750475422 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREA S THORNTON Owner 307-638-7757 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: WY 6272A) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2020-08-22 |