Sage Medical Group LLC

NPI #1700854346 in Casper, Wyoming

Provider Information

NPI Number: 1700854346
Entity Type: Organization
Organization Name: Sage Medical Group LLC
Primary Specialty: Clinic/Center
Enumeration Date: Mar 9, 2006
Last Updated: Oct 11, 2007

Practice Location

Address: 419 S WASHINGTON ST
Address 2: STE 200
City: Casper
State: Wyoming
ZIP Code: 82601
Phone: (307) 265-8300

Authorized Official

Name: SARA COOPER
Title: ADMINISTRATIVE SERVICES MANAGER
Phone: (307) 265-8300

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center	261Q00000X	Primary

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