| NPI | 1841452000 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RADONA KAY BORGIALLI Office Manager 307-686-4900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: WY 5966A) |
| Enumeration Date | 2008-06-30 |
| Last Update Date | 2008-06-30 |