| NPI | 1942470737 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RYAN THOMAS SWAN M.D. 307-265-7731 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225400000X Rehabilitation Practitioner (Licence: WY 6809A) |
| Enumeration Date | 2008-03-07 |
| Last Update Date | 2011-11-24 |