Organization
LITTLE SNAKE RIVER CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES RICHARD ZIMMERMAN PA-C (PRESIDENT)
(307) 361-8104
Entity
Organization
Contact information
Practice address
210 PENLAND ST, BAGGS, WY 82321-5051
(307) 361-8104
Mailing address
PO BOX 37, BAGGS, WY 82321-0037
(307) 361-8104
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
01/16/2025
Last updated
05/22/2025
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