| NPI | 1982362141 |
|---|---|
| Other Name | CRMG INTERNAL AND FAMILY MEDICINE |
| Entity Type | Organization |
| Authorized Contact | ERIN PETERSEN Provider Enrollment Specialist 307-432-3664 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 363L00000X Nurse Practitioner | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2021-12-06 |
| Last Update Date | 2025-10-10 |