Summit Memorial Medical Group LLC

NPI #1598469462 in Casper, Wyoming

Provider Information

NPI Number
1598469462
Entity Type
Organization
Organization Name
Summit Memorial Medical Group LLC
Primary Specialty
General Practice
Enumeration Date
Mar 27, 2023
Last Updated
Oct 16, 2024

Practice Location

Address
6500 E 2ND ST
City
Casper
State
Wyoming
ZIP Code
82609-4338
Phone
(307) 577-1000

Authorized Official

Name
JAMES CUSSINS
Title
CFO
Phone
(307) 286-6738

Specialties & Taxonomy Codes

Specialty
General Practice

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