Midwest/edgerton Medical Services, Inc.

NPI #1366000580 in Midwest, Wyoming

Provider Information

NPI Number: 1366000580
Entity Type: Organization
Organization Name: Midwest/edgerton Medical Services, Inc.
Primary Specialty: Family Medicine
Enumeration Date: Jun 3, 2019
Last Updated: Jun 3, 2019

Practice Location

Address: 531 PEAKE ST.
City: Midwest
State: Wyoming
ZIP Code: 82643
Phone: (307) 315-4173

Authorized Official

Name: MICHAEL RAY SMITH
Title: EXECUTIVE DIRECTOR
Phone: (307) 315-4173

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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