Organization
AMARIS SPANG
Active
Other names
RN
Organization subpart
No
Provider details
NPI number
Authorized official
AMARIS E SPANG RN (NURS)
(406) 679-3157
Entity
Organization
Contact information
Practice address
1008 E MAIN ST, RIVERTON, WY 82501-3730
(406) 679-3157
(307) 332-9446
Mailing address
1008 E MAIN ST, RIVERTON, WY 82501
(406) 679-3157
(307) 332-9446
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
35707
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
105726000
—
WY
Enumeration date
07/31/2015
Last updated
07/31/2015
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