Marbleton-big Piney Clinic | |
103 W 3rd Street Marbleton WY 83113 | |
(307) 276-3306 | |
(307) 276-3024 |
Full Name | Marbleton-big Piney Clinic |
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Speciality | Family Medicine |
Location | 103 W 3rd Street, Marbleton, Wyoming |
Authorized Official Name and Position | Lorraine Diane Gatzke (CFO) |
Authorized Official Contact | 3072764451 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Marbleton-big Piney Clinic Po Box 787 Big Piney WY 83113-0787 Ph: (307) 276-4451 | Marbleton-big Piney Clinic 103 W 3rd Street Marbleton WY 83113 Ph: (307) 276-3306 |
NPI Number | 1609827435 |
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Provider Enumeration Date | 05/15/2006 |
Last Update Date | 02/10/2011 |
Identifier | Type | State | Issuer |
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1609827435 | NPI | - | NPPES |
121421700 | Medicaid | WY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |