Wyoming Medical Associates, LLC

NPI #1114531118 in Gillette, Wyoming

Provider Information

NPI Number
1114531118
Entity Type
Organization
Organization Name
Wyoming Medical Associates, LLC
Primary Specialty
Clinic/Center
Enumeration Date
Sep 7, 2020
Last Updated
Jan 20, 2026

Practice Location

Address
51 TOWN CENTER DR STE 120
State
Wyoming
ZIP Code
82718-5521
Phone
(307) 682-9962

Authorized Official

Name
DENNIS DALE JACK
Title
CEO
Phone
(307) 682-9962

Specialties & Taxonomy Codes

Specialty
Clinic/Center

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