Organization
FAMILY FIRST, P. C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. AMY LYNN GRUBER M. D. (PRESIDENT)
(307) 778-3675
Entity
Organization
Contact information
Practice address
5416 EDUCATION DR, CHEYENNE, WY 82009-4094
(307) 778-3675
(307) 632-3302
Mailing address
5416 EDUCATION DR, CHEYENNE, WY 82009-4094
(307) 778-3675
(307) 632-3302
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00847-00
BCBS
WY
05
—
107039800
—
WY
01
—
CI8929
RR MEDICARE
—
Enumeration date
08/18/2006
Last updated
12/05/2008
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