Full Name | |
---|---|
Speciality | Family Medicine |
Location | 5 Highway 28, Farson, Wyoming |
Authorized Official Name and Position | Steven Tomich (BOARD CHAIRMAN) |
Authorized Official Contact | 3072733055 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 359 Farson WY 82932-0359 Ph: (307) 273-3055 | 5 Highway 28 Farson WY 82932 Ph: (307) 273-3055 |
NPI Number | 1730425471 |
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Provider Enumeration Date | 12/28/2012 |
Last Update Date | 11/13/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1730425471 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |