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Organization

UNIVERSITY OF WYOMING

Active
Organization subpart
No

Provider details

NPI number
Authorized official
PAMELA KIM ADAMS (CREDENTIALING SPECIALIST)
(307) 766-3044
Entity
Organization

Contact information

Practice address
820 E 17TH ST, CHEYENNE, WY 82001-4714
(307) 777-7911
(307) 777-7911
Mailing address
820 E 17TH ST, CHEYENNE, WY 82001-4714
(307) 777-7911
(307) 777-7911

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary

Other

Enumeration date
05/29/2020
Last updated
07/17/2023
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