NPI 1093553539

Tlt

Organisation Point of Service Sheridan, WY

Practice location

Address: 30 N Gould St STE R, Sheridan, WY 82801-6317
Phone: (347) 270-8183
Mailing address: 270 W 123rd St APT 5b, New York, NY 10027-8112

Authorised official

Name: Millan Ash
Title: Ceo
Phone: (347) 270-8183

Registered specialties

Point of Service Primary

Managed Care Organizations Taxonomy 305S00000X

Other Point of Service providers in Wyoming →

Registry record

NPI: 1093553539
Entity type: Organization
NPI issued: 18 Jul 2024
Record last updated: 18 Jul 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.