NPI #
29 Black Coal Drive
Fort Washakie, WY, 82514-0128
19363
WY
Ambulatory Health Care Facilities
Clinic/Center
261Q00000X
29 Black Coal Dr
Fort Washakie, WY, 82514-0000
Fort Washakie, WY, 82514
11 Shipton Lane
215 Ethete Rd