Organization
STRONG TREE CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH BAUMSTARCK JR. M.D. (DOCTOR)
(307) 548-6289
Entity
Organization
Contact information
Practice address
342 E MAIN ST, LOVELL, WY 82431-2136
(307) 548-6289
(307) 548-6910
Mailing address
342 E MAIN ST, LOVELL, WY 82431-2136
(307) 548-6289
(307) 548-6910
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
5460A
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
114619001
—
WY
Enumeration date
11/28/2006
Last updated
06/18/2008
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