Jacqueline D Adler, Md, Llc | |
1333 W 5th St Suite 201 Sheridan WY 82801-2751 | |
(307) 674-0700 | |
Not Available |
Full Name | Jacqueline D Adler, Md, Llc |
---|---|
Speciality | Internal Medicine - Infectious Disease |
Location | 1333 W 5th St, Sheridan, Wyoming |
Authorized Official Name and Position | Jacqueline D Adler (SOLE PROPRIETOR) |
Authorized Official Contact | 3076740700 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Jacqueline D Adler, Md, Llc Po Box 6046 Sheridan WY 82801-1446 Ph: (307) 674-0700 | Jacqueline D Adler, Md, Llc 1333 W 5th St Suite 201 Sheridan WY 82801-2751 Ph: (307) 674-0700 |
NPI Number | 1538213491 |
---|---|
Provider Enumeration Date | 01/22/2007 |
Last Update Date | 05/19/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1538213491 | NPI | - | NPPES |
313871 | Other | WY | BLUE CROSS BLUE SHIELD |
121742900 | Medicaid | WY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RI0200X | Internal Medicine - Infectious Disease | 7081A (Wyoming) | Primary |
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