Full Name | Jmdo Llc |
---|---|
Speciality | Family Medicine |
Location | 866 Cy Ave, Casper, Wyoming |
Authorized Official Name and Position | Jesse Miller (OWNER) |
Authorized Official Contact | 3072009669 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Jmdo Llc 1510 S Cedar St Casper WY 82601-4141 Ph: (307) 200-9669 | Jmdo Llc 866 Cy Ave Casper WY 82601-4162 Ph: (307) 200-9669 |
NPI Number | 1770189706 |
---|---|
Provider Enumeration Date | 12/06/2020 |
Last Update Date | 12/06/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1770189706 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
News Archive
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