Organization
MCCARTY FAMILY MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CRAIG WILLARD MCCARTY MD, PHD (MANAGING PARTNER)
(307) 696-5053
Entity
Organization
Contact information
Practice address
109 W LAKEWAY RD, SUITE A, GILLETTE, WY 82718-6352
(307) 696-5053
Mailing address
109 W LAKEWAY RD, SUITE A, GILLETTE, WY 82718-6352
(307) 696-5053
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
7680A
WY
207Q00000X
Family Medicine Physician
Primary
7686A
WY
Other
Enumeration date
03/31/2013
Last updated
03/31/2013
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