| NPI | 1982420311 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARNELL SIMPSON President 307-883-7246 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center Multi-Specialty |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 208D00000X General Practice | |
| Enumeration Date | 2024-12-02 |
| Last Update Date | 2024-12-02 |