Organization
HEALOGICS SPECIALTY PHYSICIANS OF WYOMING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA ELLIS (PRESIDENT/CEO)
(855) 689-5105
Entity
Organization
Contact information
Practice address
1233 E 2ND ST, CASPER, WY 82601-2926
(307) 577-2915
Mailing address
5220 BELFORT RD, SUITE 130, JACKSONVILLE, FL 32256-6017
Taxonomy
Speciality
Code
Description
License number
State
2083P0011X
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
Primary
—
—
Other
Enumeration date
01/23/2015
Last updated
03/03/2020
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