| Gary Mundy Md Llc | |
|
1955 Coffeen Ave Sheridan WY 82801-5713 | |
| (307) 673-7560 | |
| Not Available |
| Full Name | Gary Mundy Md Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 1955 Coffeen Ave, Sheridan, Wyoming |
| Authorized Official Name and Position | Gary D Mundy (OWNER) |
| Authorized Official Contact | 3076737560 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gary Mundy Md Llc 1955 Coffeen Ave Sheridan WY 82801-5713 Ph: (307) 673-7560 | Gary Mundy Md Llc 1955 Coffeen Ave Sheridan WY 82801-5713 Ph: (307) 673-7560 |
| NPI Number | 1245459775 |
|---|---|
| Provider Enumeration Date | 04/24/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245459775 | NPI | - | NPPES |
| 304445 | Other | WY | BLUE CROSS |
| DC7593 | Other | WY | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 5258A (Wyoming) | Primary |
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