| High Performance Sports Medicine Pc | |
|
406 S. 2nd Street Laramie WY 82070-3603 | |
| (307) 514-4041 | |
| Not Available |
| Full Name | High Performance Sports Medicine Pc |
|---|---|
| Speciality | Family Medicine - Sports Medicine |
| Location | 406 S. 2nd Street, Laramie, Wyoming |
| Authorized Official Name and Position | Helen D Iams (OWNER) |
| Authorized Official Contact | 3075144041 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| High Performance Sports Medicine Pc 406 S. 2nd Street Laramie WY 82070-3603 Ph: (307) 514-4041 | High Performance Sports Medicine Pc 406 S. 2nd Street Laramie WY 82070-3603 Ph: (307) 514-4041 |
| NPI Number | 1215180898 |
|---|---|
| Provider Enumeration Date | 10/28/2008 |
| Last Update Date | 10/28/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215180898 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 7107A (Wyoming) | Secondary |
| 207QS0010X | Family Medicine - Sports Medicine | 7107A (Wyoming) | Primary |
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