NPI 1598469462

Summit Memorial Medical Group LLC

Organisation General Practice Physician Casper, WY

Practice location

Address: 6500 E 2nd St, Casper, WY 82609-4338
Phone: (307) 577-1000
Mailing address: 222 S 5th St, Douglas, WY 82633-2534

Authorised official

Name: James Cussins
Title: Cfo
Phone: (307) 286-6738

Registered specialties

General Practice Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208D00000X

Other General Practice providers in Wyoming →

Registry record

NPI: 1598469462
Entity type: Organization
NPI issued: 27 Mar 2023
Record last updated: 16 Oct 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.