| Clear Image Laser Studio | |
|
532 Val Vista St Suite 104 Sheridan WY 82801-3655 | |
| (307) 655-8289 | |
| (307) 655-8291 |
| Full Name | Clear Image Laser Studio |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 532 Val Vista St, Sheridan, Wyoming |
| Authorized Official Name and Position | Brenda Sue Mosher (FNP) |
| Authorized Official Contact | 3072592434 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Clear Image Laser Studio 532 Val Vista St Suite 104 Sheridan WY 82801-3655 Ph: (307) 655-8289 | Clear Image Laser Studio 532 Val Vista St Suite 104 Sheridan WY 82801-3655 Ph: (307) 655-8289 |
| NPI Number | 1992143648 |
|---|---|
| Provider Enumeration Date | 06/04/2013 |
| Last Update Date | 06/04/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992143648 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 9206-1081 (Wyoming) | Primary |
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