| NPI | 1932348414 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUTH ANNE SMREKAR TOMLINSON Owner/Physician 307-699-0932 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: WY 7622A) |
| Enumeration Date | 2009-02-06 |
| Last Update Date | 2022-02-21 |