Family Practice Associates | |
557 E Broadway Ave Jackson WY 83001-8640 | |
(307) 733-7771 | |
(307) 733-8276 |
Full Name | Family Practice Associates |
---|---|
Speciality | Family Medicine |
Location | 557 E Broadway Ave, Jackson, Wyoming |
Authorized Official Name and Position | Richard Greer Sugden (PHYSICIAN/OWNER) |
Authorized Official Contact | 3077337771 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Family Practice Associates Po Box 2468 Jackson WY 83001-2468 Ph: (307) 733-7771 | Family Practice Associates 557 E Broadway Ave Jackson WY 83001-8640 Ph: (307) 733-7771 |
NPI Number | 1881883858 |
---|---|
Provider Enumeration Date | 10/16/2007 |
Last Update Date | 01/13/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1881883858 | NPI | - | NPPES |
106276000 | Medicaid | WY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 2355A (Wyoming) | Primary |
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