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Organization

ASPENGLOW OBSTETRICS AND GYNECOLOGY, LLC

Active
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Organization

ASPENGLOW OBSTETRICS AND GYNECOLOGY, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KEN V. HOLT DO (PRESIDENT)
(307) 206-1330
Entity
Organization

Contact information

Practice address
125 WYOMING ST, LANDER, WY 82520-3919
(307) 206-1330
(307) 206-1331
Mailing address
125 WYOMING ST, LANDER, WY 82520-3919
(307) 206-1330
(307) 206-1331

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
NULL
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—

Other

Enumeration date
11/18/2021
Last updated
11/18/2021
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