Organization
SUMMIT MEDICAL GROUP, LLC
Active
Other names
Aligned Providers of Wyoming
Organization subpart
No
Provider details
NPI number
Authorized official
RUSSELL LAUVER MD (PRESIDENT)
(877) 485-4474
Entity
Organization
Contact information
Practice address
214 E 23RD ST, EMERGENCY DEPARTMENT, CHEYENNE, WY 82001-3748
(307) 634-2273
Mailing address
PO BOX 721453, NORMAN, OK 73070-8123
(877) 485-4474
(405) 341-9217
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
144914100
—
WY
Enumeration date
10/19/2016
Last updated
08/18/2025
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