Upstream Health Services, P.c.

NPI #1255716833 in Powell, Wyoming

Provider Information

NPI Number: 1255716833
Entity Type: Organization
Organization Name: Upstream Health Services, P.c.
Primary Specialty: Family Medicine
Enumeration Date: Jul 24, 2015
Last Updated: Jul 24, 2015

Practice Location

Address: 250 N EVARTS ST
City: Powell
State: Wyoming
ZIP Code: 82435-2718
Phone: (307) 254-0801

Authorized Official

Name: DR. MICHAEL DUANE TRACY, M.D.
Title: CO-OWNER
Phone: (307) 254-0801

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X
Pediatrics	208000000X
Family Medicine	207Q00000X	Primary

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