| NPI | 1841566478 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID M KILPATRICK Md Owner 307-635-4359 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: WY 5427A) |
| Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: CO 24493) |
| Enumeration Date | 2012-03-28 |
| Last Update Date | 2012-03-28 |