Wyoming Health Medical Group, LLC

NPI #1346951944 in Casper, Wyoming

Provider Information

NPI Number: 1346951944
Entity Type: Organization
Organization Name: Wyoming Health Medical Group, LLC
Subpart: Yes (part of a larger organization)
Parent Organization: BANNER MEDICAL GROUP COLORADO
Primary Specialty: Nutritionist - Nutrition, Education
Enumeration Date: Dec 6, 2022
Last Updated: Dec 6, 2022

Practice Location

Address: 419 S WASHINGTON ST STE 102
City: Casper
State: Wyoming
ZIP Code: 82601-2951
Phone: (307) 237-5047

Authorized Official

Name: MARGO KARSTEN
Title: DIVISION PRESIDENT
Phone: (602) 747-4000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Multi-Specialty — Multi-Specialty	261QM1300X
Nutritionist - Nutrition, Education — Nutrition, Education	133NN1002X	Primary

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