| University Of Wyoming | |
|
1000 E University Ave Laramie WY 82071-2000 | |
| (307) 766-2323 | |
| Not Available |
| Full Name | University Of Wyoming |
|---|---|
| Speciality | Clinic/center - Student Health |
| Location | 1000 E University Ave, Laramie, Wyoming |
| Authorized Official Name and Position | Bob Waller (HEAD ATHLETIC TRAINER) |
| Authorized Official Contact | 3077662323 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| University Of Wyoming 1000 E University Ave Laramie WY 82071-2000 Ph: () - | University Of Wyoming 1000 E University Ave Laramie WY 82071-2000 Ph: (307) 766-2323 |
| NPI Number | 1215228804 |
|---|---|
| Provider Enumeration Date | 04/29/2011 |
| Last Update Date | 04/29/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215228804 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QS1000X | Clinic/center - Student Health | (* (Not Available)) | Primary |
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