| Independent Family Practice | |
|
122 Peterson Pkwy Thayne WY 83127 | |
| (307) 883-4437 | |
| (307) 883-4436 |
| Full Name | Independent Family Practice |
|---|---|
| Speciality | Family Medicine |
| Location | 122 Peterson Pkwy, Thayne, Wyoming |
| Authorized Official Name and Position | Donald Kirk (OWNER) |
| Authorized Official Contact | 3078834437 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Independent Family Practice 122 Peterson Pkwy Thayne WY 83127 Ph: (307) 883-4437 | Independent Family Practice 122 Peterson Pkwy Thayne WY 83127 Ph: (307) 883-4437 |
| NPI Number | 1477509651 |
|---|---|
| Provider Enumeration Date | 05/26/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477509651 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Prater Mountain Health Clinic Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 118 S Main St, Suite 400, Thayne, WY 83127 Phone: 307-883-7246 Fax: 307-883-7247 |