| NPI | 1760949317 |
|---|---|
| Former Legal Business Name | WIND RIVER HEART CLINIC |
| Entity Type | Organization |
| Authorized Contact | KEVIN A COURVILLE Cardiologist 307-206-1071 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Enumeration Date | 2019-03-01 |
| Last Update Date | 2021-01-13 |