Mountain Sage Holistic Clinic, LLC
NPI #1376924621 in Dubois, Wyoming
Provider Information
- NPI Number
- 1376924621
- Entity Type
- Organization
- Organization Name
- Mountain Sage Holistic Clinic, LLC
- Primary Specialty
- Nurse Practitioner - Primary Care
- Enumeration Date
- Jun 12, 2015
- Last Updated
- Jun 12, 2015
Practice Location
Authorized Official
- Name
- MARTIN P BAUM
- Title
- BUSINESS MANAGER
- Phone
- (307) 455-2807
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Primary Care — Primary Care |
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