| NPI | 1871741322 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FLOYD PATRICK HUXFORD Chief Execuative Officer 307-362-5352 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center Medical Specialty (Licence: WY 431) |
| Enumeration Date | 2008-09-08 |
| Last Update Date | 2008-09-08 |