| NPI | 1952596199 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIRK T SHAMLEY President 307-637-7886 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology Gynecology (Licence: WY 5381A) |
| Enumeration Date | 2007-09-11 |
| Last Update Date | 2008-07-09 |