| Iim | |
|
3116 Willett Dr Laramie WY 82072-5048 | |
| (307) 745-8899 | |
| (307) 745-4150 |
| Full Name | Iim |
|---|---|
| Speciality | Internal Medicine |
| Location | 3116 Willett Dr, Laramie, Wyoming |
| Authorized Official Name and Position | William Michael Comley (OWNER) |
| Authorized Official Contact | 3077458999 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Iim 3116 Willett Dr Laramie WY 82072-5048 Ph: (307) 745-8899 | Iim 3116 Willett Dr Laramie WY 82072-5048 Ph: (307) 745-8899 |
| NPI Number | 1881720514 |
|---|---|
| Provider Enumeration Date | 02/26/2007 |
| Last Update Date | 04/18/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881720514 | NPI | - | NPPES |
| CQ2018 | Other | WY | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (Wyoming) | Primary |
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