Medical Associates | |
1616 E 19th St Ste 8 Cheyenne WY 82001-4946 | |
(307) 631-8430 | |
Not Available |
Full Name | Medical Associates |
---|---|
Speciality | Family Medicine |
Location | 1616 E 19th St Ste 8, Cheyenne, Wyoming |
Authorized Official Name and Position | Howard Willis (OWNER) |
Authorized Official Contact | 3072145129 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Medical Associates Po Box 2230 Cheyenne WY 82003-2230 Ph: (307) 638-0300 | Medical Associates 1616 E 19th St Ste 8 Cheyenne WY 82001-4946 Ph: (307) 631-8430 |
NPI Number | 1831670744 |
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Provider Enumeration Date | 08/28/2018 |
Last Update Date | 08/28/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1831670744 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 6779A (Wyoming) | Primary |
208D00000X | General Practice | 6779A (Wyoming) | Secondary |
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