Organization
MEDICAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HOWARD WILLIS DO (OWNER)
(307) 214-5129
Entity
Organization
Contact information
Practice address
1616 E 19TH ST STE 8, CHEYENNE, WY 82001-4946
(307) 631-8430
Mailing address
PO BOX 2230, CHEYENNE, WY 82003-2230
(307) 638-0300
(307) 638-0394
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
6779A
WY
208D00000X
General Practice Physician
6779A
WY
Other
Enumeration date
08/28/2018
Last updated
08/28/2018
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