Individual
MR. THOMAS JOSEPH JUREK
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
APN
Contact information
Practice address
3911 PIERCE AVE, CHEYENNE, WY 82001-2133
(307) 634-6455
Mailing address
3911 PIERCE AVE, CHEYENNE, WY 82001-2133
(307) 634-6455
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6820052
—
SD
Enumeration date
03/29/2006
Last updated
07/08/2007
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