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Organization
THURSTON MEDICAL CLINIC PC
Active
Organization
THURSTON MEDICAL CLINIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN E THURSTON MD (PRESIDENT)
(307) 347-2525
Entity
Organization
Contact information
Practice address
401 S 15TH ST, WORLAND, WY 82401-3530
(307) 347-2525
(307) 347-3949
Mailing address
401 S 15TH ST, WORLAND, WY 82401-3530
(307) 347-2525
(307) 347-3949
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5442A
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
104247300
DEPARTMENT OF LABOR
—
05
—
117571800
—
WY
01
—
1250930001
MEDICARE DME
—
Enumeration date
05/18/2006
Last updated
02/08/2012
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