Mammoth Family Clinic | |
One Mammoth Hot Springs Yellowstone Nat'l Park Mammoth WY 82190 | |
(307) 344-7965 | |
(307) 344-7336 |
Full Name | Mammoth Family Clinic |
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Speciality | Clinic/center - Primary Care |
Location | One Mammoth Hot Springs, Mammoth, Wyoming |
Authorized Official Name and Position | Thomas H. Glimp (MEDICAL DIRECTOR) |
Authorized Official Contact | 8153639500 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Mammoth Family Clinic Po Box 58 Yellowstone National Park WY 82190-0058 Ph: (307) 344-7965 | Mammoth Family Clinic One Mammoth Hot Springs Yellowstone Nat'l Park Mammoth WY 82190 Ph: (307) 344-7965 |
NPI Number | 1265521363 |
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Provider Enumeration Date | 10/12/2006 |
Last Update Date | 11/21/2007 |
Identifier | Type | State | Issuer |
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1265521363 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | (Illinois) | Primary |