| NPI | 1750685855 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER C BROWN Owner 307-674-4633 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease |
| 208D00000X General Practice | |
| Enumeration Date | 2011-01-04 |
| Last Update Date | 2011-01-04 |