| Lander Valley Medical Center Hospitalists | |
|
1320 Bishop Randall Dr Lander WY 82520-3939 | |
| (307) 335-6509 | |
| Not Available |
| Full Name | Lander Valley Medical Center Hospitalists |
|---|---|
| Speciality | Internal Medicine |
| Location | 1320 Bishop Randall Dr, Lander, Wyoming |
| Authorized Official Name and Position | Michael B Clark (DIVISION PRESIDENT) |
| Authorized Official Contact | 6155651590 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lander Valley Medical Center Hospitalists 1320 Bishop Randall Dr Lander WY 82520-3939 Ph: (801) 352-9500 | Lander Valley Medical Center Hospitalists 1320 Bishop Randall Dr Lander WY 82520-3939 Ph: (307) 335-6509 |
| NPI Number | 1194849331 |
|---|---|
| Provider Enumeration Date | 03/16/2007 |
| Last Update Date | 01/05/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194849331 | NPI | - | NPPES |
| 115864300 | Medicaid | WY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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