Organization
ROCKY MOUNTAIN ROGUES, INC.
Active
Other names
Bull Moose Lodge
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JULINE CHRISTOFFERSON (PRESIDENT)
(307) 654-7594
Entity
Organization
Contact information
Practice address
91 US HIGHWAY 89, ALPINE, WY 83128
(307) 654-7593
(307) 654-7494
Mailing address
PO BOX 3447, ALPINE, WY 83128-0447
(307) 654-7593
(307) 654-7594
Taxonomy
Speciality
Code
Description
License number
State
174200000X
Meals Provider
Primary
—
—
Other
Enumeration date
11/24/2020
Last updated
11/24/2020
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