Organization
SUBLETTE COUNTY PUBLIC HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRENT SHERRARD M.D. (DIRECTOR)
(307) 367-2157
Entity
Organization
Contact information
Practice address
619 E HENNICK ST, PINEDALE, WY 82941
(307) 367-2157
(307) 367-2689
Mailing address
PO BOX 517, 619 E HENNICK ST, PINEDALE, WY 82941
(307) 367-2157
(307) 367-2689
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
25380
WY
Other
Enumeration date
10/28/2010
Last updated
10/28/2010
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