| Lander Valley Family Practice Pc | |
|
930 Buena Vista Dr Lander WY 82520-3447 | |
| (307) 438-3122 | |
| Not Available |
| Full Name | Lander Valley Family Practice Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 930 Buena Vista Dr, Lander, Wyoming |
| Authorized Official Name and Position | Malachi Miller (PARTNER) |
| Authorized Official Contact | 3074383122 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lander Valley Family Practice Pc Po Box 618 Lander WY 82520-0618 Ph: (307) 438-3122 | Lander Valley Family Practice Pc 930 Buena Vista Dr Lander WY 82520-3447 Ph: (307) 438-3122 |
| NPI Number | 1053686758 |
|---|---|
| Provider Enumeration Date | 03/13/2012 |
| Last Update Date | 03/13/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053686758 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 6729A (Wyoming) | Primary |
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