Organization
MOUNTAIN MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHET RUGER (ADMINISTRATOR)
(307) 209-2220
Entity
Organization
Contact information
Practice address
170 ARROWHEAD DR, EVANSTON, WY 82930-9307
(307) 267-2116
Mailing address
170 ARROWHEAD DR, EVANSTON, WY 82930-9307
(307) 209-2220
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
06/10/2020
Last updated
10/06/2020
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