| NPI | 1770503518 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD L. CANTWAY President 307-745-3169 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207PE0004X Emergency Medicine Emergency Medical Services |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2012-10-05 |