NPI 1114531118

Wyoming Medical Associates, LLC

Organisation Clinic/Center Gillette, WY

Practice location

Address: 51 Town Center Dr STE 120, Gillette, WY 82718-5521
Phone: (307) 682-9962
Fax: (307) 257-2930
Mailing address: PO Box 1805, Gillette, WY 82717-1805

Authorised official

Name: Dennis Dale Jack
Title: Ceo
Phone: (307) 682-9962

Registered specialties

Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261Q00000X

Other Clinic/Center providers in Wyoming →

Registry record

NPI: 1114531118
Entity type: Organization
NPI issued: 7 Sep 2020
Record last updated: 20 Jan 2026

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.