Independent Family Practice

NPI #1477509651 in Thayne, Wyoming

Provider Information

NPI Number: 1477509651
Entity Type: Organization
Organization Name: Independent Family Practice
Primary Specialty: Family Medicine
Enumeration Date: May 26, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 122 PETERSON PKWY
City: Thayne
State: Wyoming
ZIP Code: 83127
Phone: (307) 883-4437

Authorized Official

Name: DR. DONALD KIRK, M.D.
Title: OWNER
Phone: (307) 883-4437

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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