NPI | 1902803158 |
---|---|
Doing Business As | YELLOWSTONE SURGERY CENTER |
Entity Type | Organization |
Authorized Contact | TAKE GEORGE PULLOS Medical Director 307-635-7070 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: WY 06-186) |
Enumeration Date | 2005-07-02 |
Last Update Date | 2020-08-22 |