| NPI | 1841364882 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROGER MALCOM BRECHEEN Owner 307-733-8537 |
| Organization Subpart ? | No |
| Primary Taxonomy | 176B00000X Midwife |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2020-08-22 |