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Organization
FAMILY PRACTICE ASSOCIATES
Active
Organization
FAMILY PRACTICE ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD GREER SUGDEN M.D. (PHYSICIAN/OWNER)
(307) 733-7771
Entity
Organization
Contact information
Practice address
557 E BROADWAY AVE, JACKSON, WY 83001-8640
(307) 733-7771
(307) 733-8276
Mailing address
PO BOX 2468, JACKSON, WY 83001-2468
(307) 733-7771
(307) 733-8276
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2355A
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
106276000
—
WY
Enumeration date
10/16/2007
Last updated
01/13/2015
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