Pas Wyoming

NPI #1003384983 in Laramie, Wyoming

Provider Information

NPI Number
1003384983
Entity Type
Organization
Organization Name
Pas Wyoming
Primary Specialty
Case Management
Enumeration Date
Nov 8, 2018
Last Updated
Nov 8, 2018

Practice Location

Address
1465 N 4TH ST STE 111
State
Wyoming
ZIP Code
82072-2066
Phone
(307) 460-0507

Authorized Official

Name
MARK SPARKS JR.
Title
DIRECTOR
Phone
(307) 460-0507

Specialties & Taxonomy Codes

Specialty
Case Management

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