| NPI | 1972701381 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRUCE D SMITH Owner 307-633-7943 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 207XX0005X Orthopaedic Surgery, Sports Medicine |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2007-07-06 |
| Last Update Date | 2007-08-28 |