Wyoming Health Medical Group, Llc | |
1020 E 2nd St Ste 201 Casper WY 82601-2955 | |
(307) 233-0250 | |
Not Available |
Full Name | Wyoming Health Medical Group, Llc |
---|---|
Speciality | Clinic/center - Multi-specialty |
Location | 1020 E 2nd St Ste 201, Casper, Wyoming |
Authorized Official Name and Position | Dennis Laraway (CFO) |
Authorized Official Contact | 6027474000 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Wyoming Health Medical Group, Llc 2901 N Central Ave Ste 160 Phoenix AZ 85012-2702 Ph: () - | Wyoming Health Medical Group, Llc 1020 E 2nd St Ste 201 Casper WY 82601-2955 Ph: (307) 233-0250 |
NPI Number | 1376210989 |
---|---|
Provider Enumeration Date | 08/23/2021 |
Last Update Date | 01/13/2022 |
Certification Date | 01/13/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1376210989 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Secondary |
261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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