| Laramie Valley Medical, Pc | |
|
920 E Sheridan St Suite B Laramie WY 82070-3868 | |
| (307) 742-9080 | |
| (307) 745-8595 |
| Full Name | Laramie Valley Medical, Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 920 E Sheridan St, Laramie, Wyoming |
| Authorized Official Name and Position | Jean M. Allais (REGISTERED AGENT) |
| Authorized Official Contact | 3077429080 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Laramie Valley Medical, Pc Po Box 1630 Laramie WY 82073-1630 Ph: (307) 742-9080 | Laramie Valley Medical, Pc 920 E Sheridan St Suite B Laramie WY 82070-3868 Ph: (307) 742-9080 |
| NPI Number | 1720284888 |
|---|---|
| Provider Enumeration Date | 06/25/2007 |
| Last Update Date | 12/29/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720284888 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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