Organization
MDPORTAL NETWORK LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW SESSA (AUTHORIZING REPRESENTATIVE)
(929) 282-4020
Entity
Organization
Contact information
Practice address
5830 E 2ND ST STE 7000, CASPER, WY 82609-4308
(929) 282-4020
(929) 282-4020
Mailing address
5830 E 2ND ST STE 7000, CASPER, WY 82609-4308
(929) 282-4020
(929) 282-4020
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
07/30/2024
Last updated
07/30/2024
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