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535 E Main St Ste B Lander WY 82520-3410 | |
(307) 206-1171 | |
(307) 206-1133 |
Full Name | |
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Speciality | Clinic/center |
Location | 535 E Main St Ste B, Lander, Wyoming |
Authorized Official Name and Position | Kevin A Courville (CARDIOLOGIST) |
Authorized Official Contact | 3072061071 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 82298 Lafayette LA 70598-2298 Ph: (337) 288-4895 | 535 E Main St Ste B Lander WY 82520-3410 Ph: (307) 206-1171 |
NPI Number | 1760949317 |
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Provider Enumeration Date | 03/01/2019 |
Last Update Date | 01/13/2021 |
Identifier | Type | State | Issuer |
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1760949317 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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