Westside Medical, LLC

NPI #1750536587 in Wilson, Wyoming

Provider Information

NPI Number
1750536587
Entity Type
Organization
Organization Name
Westside Medical, LLC
Primary Specialty
Nurse Practitioner - Family
Enumeration Date
Nov 20, 2008
Last Updated
Nov 20, 2008

Practice Location

Address
5235 HHR RANCH RD
City
Wilson
State
Wyoming
ZIP Code
83014
Phone
(307) 733-5676

Authorized Official

Name
SALLY L.H. LUKE, FNP
Title
OWNER
Phone
(307) 733-5676

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - FamilyFamily

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