| Family Practice Associates | |
|
557 E Broadway Ave Jackson WY 83001-8640 | |
| (307) 733-7771 | |
| (307) 733-8276 |
| Full Name | Family Practice Associates |
|---|---|
| Speciality | Family Medicine |
| Location | 557 E Broadway Ave, Jackson, Wyoming |
| Authorized Official Name and Position | Richard Greer Sugden (PHYSICIAN/OWNER) |
| Authorized Official Contact | 3077337771 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Practice Associates Po Box 2468 Jackson WY 83001-2468 Ph: (307) 733-7771 | Family Practice Associates 557 E Broadway Ave Jackson WY 83001-8640 Ph: (307) 733-7771 |
| NPI Number | 1881883858 |
|---|---|
| Provider Enumeration Date | 10/16/2007 |
| Last Update Date | 01/13/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881883858 | NPI | - | NPPES |
| 106276000 | Medicaid | WY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 2355A (Wyoming) | Primary |
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