| Wyoming Medical Group Fllc | |
|
555 East Broadway Suite 216 Jackson WY 83001 | |
| (307) 733-0011 | |
| (307) 733-0089 |
| Full Name | Wyoming Medical Group Fllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 555 East Broadway, Jackson, Wyoming |
| Authorized Official Name and Position | Joy H Lewis (OWNER CEO) |
| Authorized Official Contact | 3077330011 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wyoming Medical Group Fllc Po Box 4953 555 E Broadway Suite 216 Jackson WY 83001 Ph: (307) 733-0011 | Wyoming Medical Group Fllc 555 East Broadway Suite 216 Jackson WY 83001 Ph: (307) 733-0011 |
| NPI Number | 1932123494 |
|---|---|
| Provider Enumeration Date | 07/27/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932123494 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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