| NPI | 1922285295 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHELLEY M. SHEPARD Physician 307-685-0130 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: WY 6299A) |
| Enumeration Date | 2008-01-29 |
| Last Update Date | 2008-01-29 |