Western Wyoming Medical LLC

NPI #1235770249 in Lander, Wyoming

Provider Information

NPI Number
1235770249
Entity Type
Organization
Organization Name
Western Wyoming Medical LLC
Primary Specialty
Clinic/Center - Ambulatory Surgical
Enumeration Date
Oct 1, 2019
Last Updated
Oct 1, 2019

Practice Location

Address
535 E MAIN ST
City
Lander
State
Wyoming
ZIP Code
82520-3410
Phone
(318) 372-7510

Authorized Official

Name
MR. ROBERT ALAN DAUGHERTY
Title
MANAGER/OWNER
Phone
(318) 372-7510

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Ambulatory SurgicalAmbulatory Surgical

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