| Alta Vista Center For Integrative Medicine, Llc | |
|
313 S 2nd St Suite B Laramie WY 82070-3611 | |
| (307) 399-3119 | |
| (866) 827-3930 |
| Full Name | Alta Vista Center For Integrative Medicine, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 313 S 2nd St, Laramie, Wyoming |
| Authorized Official Name and Position | William S. Fitterman (CEO/MEDICAL DIRECTOR) |
| Authorized Official Contact | 3073993119 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Alta Vista Center For Integrative Medicine, Llc 313 S 2nd St Suite B Laramie WY 82070-3611 Ph: (307) 399-3119 | Alta Vista Center For Integrative Medicine, Llc 313 S 2nd St Suite B Laramie WY 82070-3611 Ph: (307) 399-3119 |
| NPI Number | 1598011306 |
|---|---|
| Provider Enumeration Date | 07/30/2012 |
| Last Update Date | 07/30/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598011306 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 7766A (Wyoming) | Primary |
| 208000000X | Pediatrics | 7766A (Wyoming) | Secondary |
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