NPI 1972781524

Mark P Menolascino MD PC

Organisation Internal Medicine Physician Wilson, WY

Practice location

Address: 5235 Hhr Ranch Road, Wilson, WY 83014
Phone: (307) 732-1039
Fax: (307) 732-1041
Mailing address: PO Box 4816, Jackson, WY 83001-4816

Authorised official

Name: Mark P Menolascino
Title: Owner
Phone: (307) 732-1039

Registered specialties

Internal Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207R00000X Licence 6730A (WY)

Other Internal Medicine providers in Wyoming →

Registry record

NPI: 1972781524
Entity type: Organization
NPI issued: 6 Feb 2008
Record last updated: 17 Jun 2016

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.