NPI 1154836617
Cowboy Medical Group PC
Practice location
- Address
- 1125 Charles Ave, Worland, WY 82401-4021
- Phone
- (307) 347-2449
Authorised official
- Name
- Wade T Bomengen
- Title
- Owner
- Phone
- (307) 347-2449
Registered specialties (2)
Rural Health Clinic/Center
Primary
Family Medicine Physician
Registry record
- NPI
- 1154836617
- Entity type
- Organization
- NPI issued
- 6 Dec 2017
- Record last updated
- 19 Jan 2018
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.