Organization
WESTSIDE WOMENS CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STARLA CHRISIE MAMMON (CO OWNER BUSINESS MGR)
(307) 265-5400
Entity
Organization
Contact information
Practice address
1915 OXFORD LANE, STE 101, CASPER, WY 82604
(307) 265-5400
(307) 265-1818
Mailing address
1915 OXFORD LANE, STE 101, CASPER, WY 82604
(307) 265-5400
(307) 265-1818
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
03/13/2007
Last updated
08/22/2020
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