| Wyocity Medical Group Llc | |
|
940 E 3rd St Ste 205 Casper WY 82601-3251 | |
| (307) 394-1341 | |
| Not Available |
| Full Name | Wyocity Medical Group Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 940 E 3rd St Ste 205, Casper, Wyoming |
| Authorized Official Name and Position | Robert Andrew Dunn (CEO/PHYSICIAN) |
| Authorized Official Contact | 3073941341 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wyocity Medical Group Llc 940 E 3rd St Ste 205 Casper WY 82601-3251 Ph: (307) 394-1341 | Wyocity Medical Group Llc 940 E 3rd St Ste 205 Casper WY 82601-3251 Ph: (307) 394-1341 |
| NPI Number | 1033800321 |
|---|---|
| Provider Enumeration Date | 05/17/2023 |
| Last Update Date | 08/11/2023 |
| Medicare PECOS PAC ID | 3274996749 |
|---|---|
| Medicare Enrollment ID | O20230830004371 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033800321 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Robert A Dunn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972881027 PECOS PAC ID: 9830362474 Enrollment ID: I20111027000245 |
| Provider Name | Sarah Michele Peak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457054280 PECOS PAC ID: 4183087653 Enrollment ID: I20230928003674 |
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