Wyoming Medical Group Fllc | |
555 East Broadway Suite 216 Jackson WY 83001 | |
(307) 733-0011 | |
(307) 733-0089 |
Full Name | Wyoming Medical Group Fllc |
---|---|
Speciality | Internal Medicine |
Location | 555 East Broadway, Jackson, Wyoming |
Authorized Official Name and Position | Joy H Lewis (OWNER CEO) |
Authorized Official Contact | 3077330011 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Wyoming Medical Group Fllc Po Box 4953 555 E Broadway Suite 216 Jackson WY 83001 Ph: (307) 733-0011 | Wyoming Medical Group Fllc 555 East Broadway Suite 216 Jackson WY 83001 Ph: (307) 733-0011 |
NPI Number | 1932123494 |
---|---|
Provider Enumeration Date | 07/27/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1932123494 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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