NPI 1568541589
Medical Specialties
Practice location
- Address
- 23 Robinson Ln, Buffalo, WY 82834-9358
- Phone
- (307) 684-9324
Authorised official
- Name
- Mike Johnson
- Title
- Pres.
- Phone
- (307) 684-9324
Registered specialties
Durable Medical Equipment & Medical Supplies
Primary
Registry record
- NPI
- 1568541589
- Entity type
- Organization
- NPI issued
- 2 Nov 2006
- Record last updated
- 14 Nov 2007
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.