| Douglas Medical Skincare & Health Clinic | |
|
119 N 3rd St Douglas WY 82633-2136 | |
| (307) 358-5244 | |
| Not Available |
| Full Name | Douglas Medical Skincare & Health Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 119 N 3rd St, Douglas, Wyoming |
| Authorized Official Name and Position | Cody Thomas (OWNER) |
| Authorized Official Contact | 3073585244 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Douglas Medical Skincare & Health Clinic 119 N 3rd St Douglas WY 82633-2136 Ph: () - | Douglas Medical Skincare & Health Clinic 119 N 3rd St Douglas WY 82633-2136 Ph: (307) 358-5244 |
| NPI Number | 1891568093 |
|---|---|
| Provider Enumeration Date | 10/31/2023 |
| Last Update Date | 10/31/2023 |
| Medicare PECOS PAC ID | 9133572944 |
|---|---|
| Medicare Enrollment ID | O20240129001801 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891568093 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Meghann M Mcandrew |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1265669287 PECOS PAC ID: 1254486251 Enrollment ID: I20090826000885 |
| Provider Name | Ryker M Kiel |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1528450327 PECOS PAC ID: 9830434133 Enrollment ID: I20210506001684 |
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