Organization
GILLETTE INTERNAL MEDICINE ASSOCIATES PC
Active
Organization
GILLETTE INTERNAL MEDICINE ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIRTIKUMAR L PATEL MD (PRESIDENT)
(307) 682-0400
Entity
Organization
Contact information
Practice address
407 S MEDICAL ARTS CT, SUITE D, GILLETTE, WY 82716-3372
(307) 682-0400
(307) 686-7420
Mailing address
407 S MEDICAL ARTS CT, SUITE D, GILLETTE, WY 82716-3372
(307) 682-0400
(307) 686-7420
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
113341100
—
WY
Enumeration date
10/05/2006
Last updated
07/21/2022
Update your record
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