| NPI | 1770615031 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD WILBERN PARKER President 307-682-4664 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: WY 3620A) |
| Enumeration Date | 2007-03-12 |
| Last Update Date | 2011-02-08 |