| NPI | 1952586158 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CORNELIUS BRITT Physician / Owner 307-332-9720 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: WY 6789A) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2008-01-07 |
| Last Update Date | 2008-01-25 |