| NPI | 1982775508 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY JAMES SCOTT President Of Pc 307-672-0401 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: WY 2719A) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WY 13730119) |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2007-10-10 |