| Wyoming Health Medical Group, Llc | |
|
1020 E 2nd St Ste 201 Casper WY 82601-2955 | |
| (307) 233-0250 | |
| Not Available |
| Full Name | Wyoming Health Medical Group, Llc |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 1020 E 2nd St Ste 201, Casper, Wyoming |
| Authorized Official Name and Position | Dennis Laraway (CFO) |
| Authorized Official Contact | 6027474000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wyoming Health Medical Group, Llc 2901 N Central Ave Ste 160 Phoenix AZ 85012-2702 Ph: () - | Wyoming Health Medical Group, Llc 1020 E 2nd St Ste 201 Casper WY 82601-2955 Ph: (307) 233-0250 |
| NPI Number | 1376210989 |
|---|---|
| Provider Enumeration Date | 08/23/2021 |
| Last Update Date | 01/13/2022 |
| Certification Date | 01/13/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376210989 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Secondary |
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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