Organization
WYOMING OSTEOPOROSIS CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RITA GAIL ELMORE (OFFICE MANAGER)
(307) 577-4276
Entity
Organization
Contact information
Practice address
940 E 3RD ST, STE. 106, CASPER, WY 82601-3237
(307) 577-4276
(307) 577-4278
Mailing address
940 E 3RD ST, STE. 106, CASPER, WY 82601-3237
(307) 577-4276
(307) 577-4278
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01043001
RAIL ROAD MEDICARE
WY
05
—
112519200
—
WY
Enumeration date
11/29/2005
Last updated
07/21/2022
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