Sage Medical Group LLC

NPI #1164561528 in Casper, Wyoming

Provider Information

NPI Number
1164561528
Entity Type
Organization
Organization Name
Sage Medical Group LLC
Primary Specialty
Clinical Medical Laboratory
Enumeration Date
Feb 5, 2007
Last Updated
Aug 22, 2020

Practice Location

Address
419 S WASHINGTON STREET
Address 2
SUITE 201
City
Casper
State
Wyoming
ZIP Code
82601
Phone
(307) 265-8300

Authorized Official

Name
MR. CHARLES D MOSES
Title
CHIEF ADMINISTRATIVE OFFICER
Phone
(307) 265-8300

Specialties & Taxonomy Codes

Specialty
Clinical Medical Laboratory

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