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Organization
WYOMING RANGE MEDICAL PC
Active
Organization
WYOMING RANGE MEDICAL PC
Active
Other names
RED DESERT INSTA CARE
Organization subpart
No
Provider details
NPI number
Authorized official
KANDACE FERNANDEZ (OFFICE MANAGER)
(307) 382-3064
Entity
Organization
Contact information
Practice address
2761 COMMERCIAL WAY, ROCK SPRINGS, WY 82901-4753
(307) 382-3064
(307) 382-3303
Mailing address
PO BOX 1479, ROCK SPRINGS, WY 82902-1479
(307) 382-3064
(307) 382-3303
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
313591
BLUE CROSS BLUE SHIELD
WY
Enumeration date
10/06/2006
Last updated
09/11/2018
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