NPI 1134744600

Mountain Medicine LLC

Organisation Primary Care Clinic/Center Evanston, WY

Practice location

Address: 170 Arrowhead Dr, Evanston, WY 82930-9307
Phone: (307) 267-2116

Authorised official

Name: Chet Ruger
Title: Administrator
Phone: (307) 209-2220

Registered specialties

Primary Care Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QP2300X

Other Clinic/Center providers in Wyoming →

Registry record

NPI: 1134744600
Entity type: Organization
NPI issued: 10 Jun 2020
Record last updated: 6 Oct 2020

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.