Organization
CENTRAL WYOMING OXYGEN, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA L MELLOTT RNC (MEMBER)
(307) 334-0177
Entity
Organization
Contact information
Practice address
340 EAST 'E' STREET, SUITE 160, CASPER, WY 82601-0000
(307) 237-2711
(307) 237-2715
Mailing address
PO BOX 577, LUSK, WY 82225-0577
(307) 334-0177
(307) 334-0179
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
Other
Enumeration date
03/25/2008
Last updated
07/27/2009
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