| Wind River Heart Clinic LLC | |
|
535 E Main St Ste B Lander WY 82520-3410 | |
| (307) 206-1171 | |
| (307) 206-1133 |
| Full Name | Wind River Heart Clinic LLC |
|---|---|
| Speciality | Clinic/center |
| Location | 535 E Main St Ste B, Lander, Wyoming |
| Authorized Official Name and Position | Kevin a Courville (CARDIOLOGIST) |
| Authorized Official Contact | 3072061071 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wind River Heart Clinic LLC Po Box 82298 Lafayette LA 70598-2298 Ph: (337) 288-4895 | Wind River Heart Clinic LLC 535 E Main St Ste B Lander WY 82520-3410 Ph: (307) 206-1171 |
| NPI Number | 1760949317 |
|---|---|
| Provider Enumeration Date | 03/01/2019 |
| Last Update Date | 01/13/2021 |
| Certification Date | 01/13/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760949317 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | () | Primary |
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