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Organization

HUNTER FAMILY MEDICAL CLINIC PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KURT LEROY HUNTER MD (OWNER PRESIDENT)
(307) 382-7414
Entity
Organization

Contact information

Practice address
2751 COMMERCIAL WAY, ROCK SPRINGS, WY 82901
(307) 382-7414
(307) 382-7396
Mailing address
2751 COMMERCIAL WAY, ROCK SPRINGS, WY 82901
(307) 382-7414
(307) 382-7396

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
6113A
WY
291U00000X
Clinical Medical Laboratory
CLIA53D0972961
WY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
114047700
WY
01
53D0972961
CLIA
Enumeration date
02/09/2007
Last updated
03/08/2013
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