Organization
MOUNTAIN FALLS CLINIC, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREA S THORNTON M.D. (OWNER)
(307) 638-7757
Entity
Organization
Contact information
Practice address
2301 HOUSE AVE., SUITE 201, CHEYENNE, WY 82001
(307) 638-7757
(307) 638-8359
Mailing address
2301 HOUSE AVE., SUITE 201, CHEYENNE, WY 82001
(307) 638-7757
(307) 638-8359
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
6272A
WY
Other
Enumeration date
10/03/2006
Last updated
08/22/2020
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