| Mark P Menolascino Md Pc | |
|
5235 Hhr Ranch Road Wilson WY 83014 | |
| (307) 732-1039 | |
| (307) 732-1041 |
| Full Name | Mark P Menolascino Md Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 5235 Hhr Ranch Road, Wilson, Wyoming |
| Authorized Official Name and Position | Mark P Menolascino (OWNER) |
| Authorized Official Contact | 3077321039 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mark P Menolascino Md Pc Po Box 4816 Jackson WY 83001-4816 Ph: (307) 732-1039 | Mark P Menolascino Md Pc 5235 Hhr Ranch Road Wilson WY 83014 Ph: (307) 732-1039 |
| NPI Number | 1972781524 |
|---|---|
| Provider Enumeration Date | 02/06/2008 |
| Last Update Date | 06/17/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972781524 | NPI | - | NPPES |
| 118685000 | Medicaid | WY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 6730A (Wyoming) | Primary |
Wilson Medical Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5235 Hhr Ranch Rd, Wilson, WY 83014 Phone: 307-733-2855 Fax: 307-734-0734 |