Organization
SOUTH SHERIDAN MEDICAL CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN WAYNE FINLEY M.D. (C.E.O.)
(307) 673-4960
Entity
Organization
Contact information
Practice address
1842 SUGARLAND DRIVE, SUITE 103, SHERIDAN, WY 82801-5719
(307) 673-4960
(307) 673-4951
Mailing address
1842 SUGARLAND DRIVE, SUITE 103, SHERIDAN, WY 82801-5719
(307) 673-4960
(307) 673-4951
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
363A00000X
Physician Assistant
240
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
120483100
—
WY
Enumeration date
05/25/2006
Last updated
06/04/2013
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