| NPI | 1962593368 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATHAN STUTTE External Financial Controller 307-577-2767 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2008-01-16 |