| NPI | 1982223848 |
|---|---|
| Other Name | PGUT WYOMING |
| Entity Type | Organization |
| Authorized Contact | CHRISTINE M. ROGERS Manager/Cms Delegated Official 617-562-5628 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Enumeration Date | 2020-04-10 |
| Last Update Date | 2020-04-10 |