Organization
WESTERN MEDICAL ASSOCIATES, L.L.C. DIAGNOSTICS AND IMAGING
Active
Parent organization
WESTERN MEDICAL AND NEUROSCIENCE ASSOCIATES, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
WESTERN MEDICAL AND NEUROSCIENCE ASSOCIATES, LLC
Authorized official
TIM FRARY PA-C (MANAGING PARTNER)
(307) 577-5100
Entity
Organization
Contact information
Practice address
6500 E 2ND ST, SUITE 100, CASPER, WY 82609-4321
(307) 577-5100
(307) 233-0610
Mailing address
6500 E 2ND ST, SUITE 200, CASPER, WY 82609-4321
(307) 577-5100
(307) 233-0610
Taxonomy
Speciality
Code
Description
License number
State
247100000X
Radiologic Technologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05908001
BLUE CROSS / BLUE SHIELD
—
Enumeration date
02/21/2007
Last updated
08/11/2020
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