Grand Avenue Urgent Care, LLC

NPI #1174983118 in Laramie, Wyoming

Provider Information

NPI Number
1174983118
Entity Type
Organization
Organization Name
Grand Avenue Urgent Care, LLC
Primary Specialty
Clinic/Center - Urgent Care
Enumeration Date
Mar 3, 2016
Last Updated
Mar 3, 2016

Practice Location

Address
3236 E GRAND AVE STE D
State
Wyoming
ZIP Code
82070-5100
Phone
(307) 760-8602

Authorized Official

Name
JOHN JACOBS
Title
OWNER
Phone
(307) 760-8602

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Urgent CareUrgent Care

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