Organization
UAP OF WYOMING, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KIMBERLY MICHELLE HARPER (AUTHORIZED OFFICIAL)
(972) 713-3547
Entity
Organization
Contact information
Practice address
150 BUFFALO WAY, JACKSON, WY 83001
(307) 733-8677
Mailing address
15305 DALLAS PKWY, 1600, ADDISON, TX 75001-4637
(972) 713-3547
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
—
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
04/01/2016
Last updated
04/01/2016
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