Organization
WYOMING MEDICAL ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENNIS DALE JACK (CEO)
(307) 682-9962
Entity
Organization
Contact information
Practice address
51 TOWN CENTER DR STE 120, GILLETTE, WY 82718-5521
(307) 682-9962
(307) 257-2930
Mailing address
PO BOX 1805, GILLETTE, WY 82717-1805
(307) 682-9962
(307) 257-2930
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
09/07/2020
Last updated
01/20/2026
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