Cowboy Medical Group PC

NPI #1154836617 in Worland, Wyoming

Provider Information

NPI Number
1154836617
Entity Type
Organization
Organization Name
Cowboy Medical Group PC
Primary Specialty
Clinic/Center - Rural Health
Enumeration Date
Dec 6, 2017
Last Updated
Jan 19, 2018

Practice Location

Address
1125 CHARLES AVE
State
Wyoming
ZIP Code
82401-4021
Phone
(307) 347-2449

Authorized Official

Name
WADE T BOMENGEN, MD
Title
OWNER
Phone
(307) 347-2449

Specialties & Taxonomy Codes

Specialty
Family Medicine
Clinic/Center - Rural HealthRural Health

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