Amanda Moore Johnson, MD | |
2710 Harney St, Ste 100, Laramie, WY 82072-0001 | |
(307) 742-9116 | |
Not Available |
Full Name | Amanda Moore Johnson |
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Gender | Female |
Speciality | Obstetrics & Gynecology |
Location | 2710 Harney St, Laramie, Wyoming |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1730202623 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207V00000X | Obstetrics & Gynecology | 241086 (New York) | Secondary |
207V00000X | Obstetrics & Gynecology | MD28544 (Oregon) | Primary |
Entity Name | Ivinson Memorial Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033628599 PECOS PAC ID: 8325304447 Enrollment ID: O20171213002021 |
Mailing Address | Practice Location Address |
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Amanda Moore Johnson, MD 2710 Harney St, Ste 100, Laramie, WY 82072-0001 Ph: (307) 771-2884 | Amanda Moore Johnson, MD 2710 Harney St, Ste 100, Laramie, WY 82072-0001 Ph: (307) 742-9116 |
Mrs. Paula Sue Vasek, F.N.P. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 2710 E Harney St, Suite 100 Laramie Physicians For Children, Laramie, WY 82072 Phone: 307-721-3118 Fax: 307-721-4880 | |
Dr. Mark Frederick Hoffmann, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 2710 E Harney St, Suite 100, Laramie, WY 82072 Phone: 307-745-8991 Fax: 307-745-8167 | |
Dr. David G Cloyd, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 2710 E Harney St, Suite 100, Laramie, WY 82072 Phone: 307-745-8991 Fax: 307-745-8167 | |
Kim Westbrook, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 2710 Harney St, Suite 100, Laramie, WY 82072 Phone: 307-745-8991 | |
Dr. Travis Don Klingler, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1277 N 15th St, Laramie, WY 82072 Phone: 307-745-8991 Fax: 307-745-8167 | |
Jaycee Lyn Kline, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 255 N 30th St, Laramie, WY 82072 Phone: 307-742-2141 |