Organization
WYOMING HEALTH FAIRS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. VICKI L PIRAYESH (EXECUTIVE DIRECTOR)
(307) 472-3711
Entity
Organization
Contact information
Practice address
115 SOUTH ELM ST, CASPER, WY 82604
(307) 472-3711
(307) 268-8332
Mailing address
115 SOUTH ELM ST, CASPER, WY 82604
(307) 472-3711
(307) 268-8332
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
—
WY
Other
Enumeration date
03/15/2007
Last updated
08/22/2020
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