Organization
THURSTON MEDICAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JANE S THURSTON (OFFICE MANAGER)
(307) 347-2525
Entity
Organization
Contact information
Practice address
401 S 15TH ST, WORLAND, WY 82401-3530
(307) 347-2525
(307) 347-3949
Mailing address
401 S 15TH ST, WORLAND, WY 82401-3530
(307) 347-2525
(307) 347-3949
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
5442A
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
122743201
—
WY
Enumeration date
03/09/2007
Last updated
01/03/2008
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