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Organization
URGENT CARE OF WYOMING INC.
Active
Organization
URGENT CARE OF WYOMING INC.
Active
Other names
Gillette Urgent Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN C SHERSHOW M.D. (OWNER)
(800) 388-9299
Entity
Organization
Contact information
Practice address
2007 S DOUGLAS HWY, E2, GILLETTE, WY 82718-5400
(307) 686-5750
(307) 686-5748
Mailing address
2007 S DOUGLAS HWY, SUITE E2, GILLETTE, WY 82718-5400
(307) 686-5750
(307) 686-5748
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
NULL
363L00000X
Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01188001
BLUE CROSS GROUP NUMBER
WY
05
—
119768100
—
WY
Enumeration date
07/21/2006
Last updated
11/13/2008
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