Organization
SWEETWATER SURGERY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PETER JENSEN MD (MEDICAL DIRECTOR)
(307) 382-6873
Entity
Organization
Contact information
Practice address
2761 COMMERCIAL WAY, ROCK SPRINGS, WY 82901-4753
(307) 382-6873
(307) 382-6869
Mailing address
2761 COMMERCIAL WAY, ROCK SPRINGS, WY 82901-4753
(307) 382-6873
(307) 382-6869
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
05-124
WY
Other
Enumeration date
06/14/2005
Last updated
11/02/2007
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