NPI | 1770259418 |
---|---|
Entity Type | Organization |
Authorized Contact | KELLEY UNDERWOOD PFS Manager 307-688-1492 |
Organization Subpart ? | No |
Primary Taxonomy | 2083X0100X Preventive Medicine, Occupational Medicine |
Enumeration Date | 2021-08-23 |
Last Update Date | 2021-08-23 |