Organization
PEGASUS CASE MANAGEMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH BUZIS (CASE MANAGEMENT SUPERVISOR)
(307) 789-3113
Entity
Organization
Contact information
Practice address
22 ANTELOPE DR, BEAR RIVER, WY 82930-9551
(307) 789-3113
(307) 789-8120
Mailing address
PO BOX 2099, EVANSTON, WY 82931-2099
(307) 789-3113
(307) 789-8120
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
02/19/2014
Last updated
02/19/2014
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