Aspen Mountain Physician Practice Management LLC

NPI #1932766706 in Rock Springs, Wyoming

Provider Information

NPI Number
1932766706
Entity Type
Organization
Organization Name
Aspen Mountain Physician Practice Management LLC
Primary Specialty
Orthopaedic Surgery
Enumeration Date
May 28, 2019
Last Updated
Feb 5, 2024

Practice Location

Address
4401 COLLEGE DR
State
Wyoming
ZIP Code
82901-3507
Phone
(307) 352-8903

Authorized Official

Name
MISS TESSA BLAIR KELLEY, RN
Title
REGISTERED AGENT
Phone
(307) 352-8903

Specialties & Taxonomy Codes

Specialty
Orthopaedic Surgery

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