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Organization

PROSPERA HEALTHCARE WYOMING LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CHRIS TILLOTSON (CEO)
(972) 900-2488
Entity
Organization

Contact information

Practice address
312 W 2ND ST # 2037, CASPER, WY 82601-2412
(972) 900-2488
(972) 600-2835
Mailing address
312 W 2ND ST # 2037, CASPER, WY 82601-2412
(972) 900-2488

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary

Other

Enumeration date
04/26/2022
Last updated
04/26/2022
About Stedi
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Product
  • Claims
  • Eligibility checks
  • EDI platform