University of Wyoming

NPI #1770681439 in Cheyenne, Wyoming

Provider Information

NPI Number
1770681439
Entity Type
Organization
Organization Name
University of Wyoming
Primary Specialty
Clinic/Center - Federally Qualified Health Center (FQHC)
Enumeration Date
Sep 20, 2006
Last Updated
Aug 7, 2024

Practice Location

Address
820 E 17TH ST
State
Wyoming
ZIP Code
82001-4714
Phone
(307) 632-2434

Authorized Official

Name
PAMELA ADAMS
Title
CREDENTIALING SPECIALISTS
Phone
(307) 766-3044

Specialties & Taxonomy Codes

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

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