| Jmdo Llc | |
|
866 Cy Ave Casper WY 82601-4162 | |
| (307) 200-9669 | |
| (814) 200-0084 |
| Full Name | Jmdo Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 866 Cy Ave, Casper, Wyoming |
| Authorized Official Name and Position | Jesse Miller (OWNER) |
| Authorized Official Contact | 3072009669 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jmdo Llc 1510 S Cedar St Casper WY 82601-4141 Ph: (307) 200-9669 | Jmdo Llc 866 Cy Ave Casper WY 82601-4162 Ph: (307) 200-9669 |
| NPI Number | 1770189706 |
|---|---|
| Provider Enumeration Date | 12/06/2020 |
| Last Update Date | 12/06/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770189706 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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