Organization
WESTERN MEDICAL ASSOCIATES, LLC
Active
Other names
Western Medical Associates, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARY CE ANDERSON CPC (BUSINESS OFFICE MANAGER)
(307) 577-5100
Entity
Organization
Contact information
Practice address
6500 E 2ND ST, SUITE 200, 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
207Q00000X
Family Medicine Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05908001
BLUE CROSS / BLUE SHIELD
—
05
—
121899900
—
WY
01
—
611665900
DOL CLINIC NUMBER
WY
Enumeration date
05/11/2006
Last updated
08/11/2020
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