| Antelope Medical Consultants Llc | |
|
430 S Medical Arts Ct Gillette WY 82716-3364 | |
| (307) 682-7661 | |
| (307) 682-5074 |
| Full Name | Antelope Medical Consultants Llc |
|---|---|
| Speciality | Nurse Practitioner - Family |
| Location | 430 S Medical Arts Ct, Gillette, Wyoming |
| Authorized Official Name and Position | Lisa Anne Malody (OWNER) |
| Authorized Official Contact | 3076827661 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Antelope Medical Consultants Llc 430 S Medical Arts Ct Gillette WY 82716-3364 Ph: (307) 682-7661 | Antelope Medical Consultants Llc 430 S Medical Arts Ct Gillette WY 82716-3364 Ph: (307) 682-7661 |
| NPI Number | 1124188545 |
|---|---|
| Provider Enumeration Date | 12/08/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124188545 | NPI | - | NPPES |
| 7088727 | Medicaid | WA | |
| 00783001 | Other | WY | BLUE CROSS CLINIC NUMBER |
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