Lander Valley Family Practice PC

NPI #1053686758 in Lander, Wyoming

Provider Information

NPI Number: 1053686758
Entity Type: Organization
Organization Name: Lander Valley Family Practice PC
Primary Specialty: Family Medicine
Enumeration Date: Mar 13, 2012
Last Updated: Mar 13, 2012

Practice Location

Address: 930 BUENA VISTA DR
City: Lander
State: Wyoming
ZIP Code: 82520-3447
Phone: (307) 438-3122

Authorized Official

Name: MALACHI MILLER, M.D.
Title: PARTNER
Phone: (307) 438-3122

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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