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Organization

ASPEN MOUNTAIN PHYSICIAN PRACTICE MANAGEMENT LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MISS TESSA BLAIR KELLEY RN (REGISTERED AGENT)
(307) 352-8903
Entity
Organization

Contact information

Practice address
4401 COLLEGE DR, ROCK SPRINGS, WY 82901-3507
(307) 352-8903
(307) 352-8901
Mailing address
4401 COLLEGE DR, ROCK SPRINGS, WY 82901-3507
(307) 352-8903
(307) 352-8901

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary

Other

Enumeration date
05/28/2019
Last updated
02/05/2024
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