Independent Family Practice | |
122 Peterson Pkwy Thayne WY 83127 | |
(307) 883-4437 | |
(307) 883-4436 |
Full Name | Independent Family Practice |
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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 |
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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 |
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Provider Enumeration Date | 05/26/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
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1477509651 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |