Lusk Medical Clinic | |
119 West 3rd Street Lusk WY 82225 | |
(307) 334-2900 | |
(307) 334-2904 |
Full Name | Lusk Medical Clinic |
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Speciality | Clinic/center - Rural Health |
Location | 119 West 3rd Street, Lusk, Wyoming |
Authorized Official Name and Position | Gary M Ottersbach (PHYSICIAN ASSISTANT) |
Authorized Official Contact | 3073342900 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Lusk Medical Clinic Po Box 930 Lusk WY 82225-0930 Ph: (307) 334-2900 | Lusk Medical Clinic 119 West 3rd Street Lusk WY 82225 Ph: (307) 334-2900 |
NPI Number | 1750311072 |
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Provider Enumeration Date | 07/03/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
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1750311072 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |