| Mccarty Family Medicine | |
|
109 W Lakeway Rd Suite A Gillette WY 82718-6352 | |
| (307) 696-5053 | |
| Not Available |
| Full Name | Mccarty Family Medicine |
|---|---|
| Speciality | Family Medicine |
| Location | 109 W Lakeway Rd, Gillette, Wyoming |
| Authorized Official Name and Position | Craig Willard Mccarty (MANAGING PARTNER) |
| Authorized Official Contact | 3076965053 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mccarty Family Medicine 109 W Lakeway Rd Suite A Gillette WY 82718-6352 Ph: (307) 696-5053 | Mccarty Family Medicine 109 W Lakeway Rd Suite A Gillette WY 82718-6352 Ph: (307) 696-5053 |
| NPI Number | 1740523521 |
|---|---|
| Provider Enumeration Date | 03/31/2013 |
| Last Update Date | 03/31/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740523521 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 7686A (Wyoming) | Primary |
| 207Q00000X | Family Medicine | 7680A (Wyoming) | Secondary |
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