| Summit Memorial Medical Group Llc | |
|
6500 E 2nd St Casper WY 82609-4338 | |
| (307) 577-1000 | |
| Not Available |
| Full Name | Summit Memorial Medical Group Llc |
|---|---|
| Speciality | General Practice |
| Location | 6500 E 2nd St, Casper, Wyoming |
| Authorized Official Name and Position | James Cussins (CFO) |
| Authorized Official Contact | 3072866738 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Summit Memorial Medical Group Llc 222 S 5th St Douglas WY 82633-2534 Ph: (307) 358-1459 | Summit Memorial Medical Group Llc 6500 E 2nd St Casper WY 82609-4338 Ph: (307) 577-1000 |
| NPI Number | 1598469462 |
|---|---|
| Provider Enumeration Date | 03/27/2023 |
| Last Update Date | 10/16/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598469462 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
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