Creekside Medical LLC
NPI #1487167052 in Cheyenne, Wyoming
Provider Information
- NPI Number
- 1487167052
- Entity Type
- Organization
- Organization Name
- Creekside Medical LLC
- Primary Specialty
- Electrodiagnostic Medicine
- Enumeration Date
- Nov 6, 2017
- Last Updated
- Sep 20, 2018
Practice Location
Authorized Official
- Name
- MATTHEW WAVRA
- Title
- MANAGING MEMBER
- Phone
- (425) 890-6239
Specialties & Taxonomy Codes
| Specialty |
|---|
| Electrodiagnostic Medicine |
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