University of Wyoming

NPI #1639617061 in Laramie, Wyoming

Provider Information

NPI Number
1639617061
Entity Type
Organization
Organization Name
University of Wyoming
Subpart
Yes (part of a larger organization)
Parent Organization
UNIVERSITY OF WYOMING
Primary Specialty
Clinic/Center - Federally Qualified Health Center (FQHC)
Enumeration Date
Feb 6, 2017
Last Updated
Mar 1, 2024

Practice Location

Address
2710 HARNEY ST STE 202
State
Wyoming
ZIP Code
82072-2899
Phone
(307) 766-3313

Authorized Official

Name
SARA DALTON
Title
CLINIC DIRECTOR
Phone
(307) 766-3313

Specialties & Taxonomy Codes

Specialty
Family Medicine
Clinic/Center - Federally Qualified Health Center (FQHC)Federally Qualified Health Center (FQHC)

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