Organization
LANDER VALLEY FAMILY PRACTICE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MALACHI MILLER M.D. (PARTNER)
(307) 438-3122
Entity
Organization
Contact information
Practice address
930 BUENA VISTA DR, LANDER, WY 82520-3447
(307) 438-3122
Mailing address
PO BOX 618, LANDER, WY 82520-0618
(307) 438-3122
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
6729A
WY
Other
Enumeration date
03/13/2012
Last updated
03/13/2012
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