| NPI | 1982808481 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY DEAN STOREY President 307-637-7700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: WY 6197A) |
| Enumeration Date | 2007-06-11 |
| Last Update Date | 2013-09-04 |