| NPI | 1912084740 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORI E MCKINSEY Provider Registered Agent 307-685-2273 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2022-07-21 |