Wyoming Medical Group Fllc

NPI #1932123494 in Jackson, Wyoming

Provider Information

NPI Number: 1932123494
Entity Type: Organization
Organization Name: Wyoming Medical Group Fllc
Primary Specialty: Internal Medicine
Enumeration Date: Jul 27, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 555 EAST BROADWAY
Address 2: SUITE 216
City: Jackson
State: Wyoming
ZIP Code: 83001
Phone: (307) 733-0011

Authorized Official

Name: JOY H LEWIS, DO
Title: OWNER CEO
Phone: (307) 733-0011

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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