| Equality State Infection Foundation | |
|
5810 E 2nd St Ste 200 Casper WY 82609-4330 | |
| (307) 234-8710 | |
| (307) 237-0326 |
| Full Name | Equality State Infection Foundation |
|---|---|
| Speciality | Internal Medicine - Infectious Disease |
| Location | 5810 E 2nd St Ste 200, Casper, Wyoming |
| Authorized Official Name and Position | Lisa Marie Willette (COO, CFO) |
| Authorized Official Contact | 3072348710 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Equality State Infection Foundation 5810 E 2nd St Ste 200 Casper WY 82609-4330 Ph: (307) 234-8710 | Equality State Infection Foundation 5810 E 2nd St Ste 200 Casper WY 82609-4330 Ph: (307) 234-8710 |
| NPI Number | 1104062314 |
|---|---|
| Provider Enumeration Date | 12/18/2008 |
| Last Update Date | 12/18/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104062314 | NPI | - | NPPES |
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