| NPI | 1861935165 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID MARTORANO Psychiatry 307-215-9870 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WY 9017a) |
| Additional Taxonomies | 207LA0401X Anesthesiology, Addiction Medicine (Licence: WY 9017a) |
| 2084P0802X Psychiatry & Neurology, Addiction Psychiatry (Licence: WY 9017a) | |
| 208VP0000X Pain Medicine, Pain Medicine (Licence: WY 9017a) | |
| Enumeration Date | 2016-11-18 |
| Last Update Date | 2016-11-18 |