Organization
UNIVERSITY OF WYOMING
Active
Parent organization
UNIVERSITY OF WYOMING
Other names
Wyoming Family Practice
Organization subpart
Yes
Provider details
NPI number
Legal business name
UNIVERSITY OF WYOMING
Authorized official
DR. BETH C. ROBITAILLE MD (PROGRAM DIRECTOR)
(307) 234-6161
Entity
Organization
Contact information
Practice address
1522 E A ST, CASPER, WY 82601-2217
(307) 234-6161
(307) 234-7033
Mailing address
1522 E A ST, CASPER, WY 82601-2217
(307) 234-6161
(307) 473-1824
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
WY
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
291U00000X
Clinical Medical Laboratory
—
—
Other
Enumeration date
06/27/2011
Last updated
05/12/2026
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