| Sage Medical Group Llc | |
|
419 S Washington St Ste 200 Casper WY 82601 | |
| (307) 265-8300 | |
| (307) 265-8313 |
| Full Name | Sage Medical Group Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 419 S Washington St, Casper, Wyoming |
| Authorized Official Name and Position | Sara Cooper (ADMINISTRATIVE SERVICES MANAGER) |
| Authorized Official Contact | 3072658300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sage Medical Group Llc Po Box 50750 Casper WY 82605 Ph: (307) 265-8300 | Sage Medical Group Llc 419 S Washington St Ste 200 Casper WY 82601 Ph: (307) 265-8300 |
| NPI Number | 1700854346 |
|---|---|
| Provider Enumeration Date | 03/09/2006 |
| Last Update Date | 10/11/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700854346 | NPI | - | NPPES |
| 1221190600 | Medicaid | WY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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