Organization
JENNIFER J. THOMAS MDPC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVE P BAILEY (BILLING AGENT)
(307) 687-1720
Entity
Organization
Contact information
Practice address
1204 W 4TH AVE, SUITE #3, GILLETTE, WY 82716-2607
(307) 685-0222
Mailing address
PO BOX 7150, GILLETTE, WY 82717-7150
(307) 685-0222
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5441A
WY
Other
Enumeration date
06/07/2007
Last updated
08/22/2020
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