Organization
NUGENT VENTURES LLC
Active
Organization
NUGENT VENTURES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMELIA J NUGENT D.O. (SOLE OWNER)
(503) 819-0677
Entity
Organization
Contact information
Practice address
400 S 15TH ST, WORLAND, WY 82401-3531
(702) 453-3799
(702) 453-5741
Mailing address
203 S H ST, LIVINGSTON, MT 59047-3129
(702) 453-3799
(702) 453-5741
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
10655A
WY
Other
Enumeration date
07/11/2017
Last updated
07/11/2017
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