Organization
SWEETWATER MEDICS LLC
Active
Other names
Sweetwater Medics
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD G GATTI (DIRECTOR)
(307) 371-8833
Entity
Organization
Contact information
Practice address
916 PILOT BUTTE AVE, ROCK SPRINGS, WY 82901-5349
(307) 362-6108
(307) 362-6165
Mailing address
PO BOX 356, ROCK SPRINGS, WY 82902-0356
(307) 362-6108
(307) 362-6165
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1942347844
—
WY
01
—
315032
BC/BS OF WYOMING
WY
Enumeration date
01/31/2007
Last updated
12/09/2013
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