Full Name | |
---|---|
Speciality | Clinic/center |
Location | 1015 Ash, Rawlins, Wyoming |
Authorized Official Name and Position | Medea Laurel Isaacson Woods (DIRECTOR) |
Authorized Official Contact | 3073240092 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Po Box 782 Rawlins WY 82301-0782 Ph: (307) 324-0092 | 1015 Ash Rawlins WY 82301-0000 Ph: (307) 324-0092 |
NPI Number | 1154589018 |
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Provider Enumeration Date | 05/28/2008 |
Last Update Date | 05/28/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1154589018 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | 446 (Wyoming) | Primary |
Rawlins Family Medical, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 606 23rd St, Rawlins, WY 82301 Phone: 307-324-6002 | |
V. Raja Chandra, Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 519 8th St, Rawlins, WY 82301 Phone: 307-324-2294 Fax: 307-328-1964 | |
Cesko Family Practice Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 819 W Maple St, Rawlins, WY 82301 Phone: 307-324-3667 Fax: 307-324-5591 | |