| Wyoming Osteoporosis Center Llc | |
|
940 E 3rd St Ste. 106 Casper WY 82601-3237 | |
| (307) 577-4276 | |
| (307) 577-4278 |
| Full Name | Wyoming Osteoporosis Center Llc |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 940 E 3rd St, Casper, Wyoming |
| Authorized Official Name and Position | Rita Gail Elmore (OFFICE MANAGER) |
| Authorized Official Contact | 3075774276 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wyoming Osteoporosis Center Llc 940 E 3rd St Ste. 106 Casper WY 82601-3237 Ph: (307) 577-4276 | Wyoming Osteoporosis Center Llc 940 E 3rd St Ste. 106 Casper WY 82601-3237 Ph: (307) 577-4276 |
| NPI Number | 1770566200 |
|---|---|
| Provider Enumeration Date | 11/29/2005 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770566200 | NPI | - | NPPES |
| 112519200 | Medicaid | WY | |
| 01043001 | Other | WY | RAIL ROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (Wyoming) | Primary |
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