NPI 1629731757

Online Doctor Office

Organisation Point of Service Sheridan, WY

Practice location

Address: 30 N Gould St STE N, Sheridan, WY 82801-6317
Phone: (800) 222-9375
Fax: (740) 738-0707

Authorised official

Name: Terry Lewis
Title: Cio
Phone: (304) 639-9809

Registered specialties (2)

Point of Service Primary

Managed Care Organizations Taxonomy 305S00000X

Other Point of Service providers in Wyoming →

Health Service Clinic/Center

Ambulatory Health Care Facilities Taxonomy 261QH0100X

Other Clinic/Center providers in Wyoming →

Registry record

NPI: 1629731757
Entity type: Organization
NPI issued: 15 Oct 2021
Record last updated: 15 Oct 2021

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.