Organization
WYOMING CLINIC OF MEDICINE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GORDON HENDRICKSON PA-C (OWNER)
(307) 683-7138
Entity
Organization
Contact information
Practice address
528 COFFEEN AVE, SHERIDAN, WY 82801-5312
(307) 683-7138
(307) 655-8770
Mailing address
528 COFFEEN AVE, SHERIDAN, WY 82801-5312
(307) 683-7138
(307) 655-8770
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
07/31/2026
Last updated
08/11/2026
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