Wyoming Em-I Medical Services, P.c.

NPI #1275876328 in Douglas, Wyoming

Provider Information

NPI Number: 1275876328
Entity Type: Organization
Organization Name: Wyoming Em-I Medical Services, P.c.
Primary Specialty: Physician Assistant
Enumeration Date: Mar 27, 2013
Last Updated: Mar 27, 2013

Practice Location

Address: 111 S 5TH ST
City: Douglas
State: Wyoming
ZIP Code: 82633-2434
Phone: (307) 358-2122

Authorized Official

Name: JOSEPH H GATEWOOD, M.D.
Title: PRESIDENT
Phone: (214) 712-2000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nurse Practitioner	363L00000X
Physician Assistant	363A00000X	Primary

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