NPI | 1982420311 |
---|---|
Doing Business As | PRATER MOUNTAIN HEALTH CLINIC |
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 | 2025-02-12 |