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Organization

WYOMING FAMILY PRACTICE CLINIC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BETH ROBITAILLE M.D. (PROGRAM DIRECTOR)
(307) 234-6161
Entity
Organization

Contact information

Practice address
1522 E A ST, CASPER, WY 82601-2217
(307) 234-6161
(307) 234-7033
Mailing address
1522 E A ST, CASPER, WY 82601-2217
(307) 234-6161
(307) 234-7033

Taxonomy

Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
390200000X
WY

Other

Enumeration date
07/20/2011
Last updated
07/20/2011
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