Organization
WYO CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY SCOTT DO (OWNER)
(307) 209-3391
Entity
Organization
Contact information
Practice address
6 S 5TH ST, GREYBULL, WY 82426-2133
(307) 209-3391
(307) 207-0392
Mailing address
6 S 5TH ST, GREYBULL, WY 82426-2133
(307) 209-3391
(307) 202-4535
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
53D2270355
CLIA
—
Enumeration date
09/01/2022
Last updated
01/18/2025
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