UPSTREAM HEALTH SERVICES, P.C.

POWELL, WY
NPI1255716833
Entity TypeOrganization
Authorized ContactMICHAEL DUANE TRACY
Co Owner
307-254-0801
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: WY  6460A)
Additional Taxonomies207R00000X Internal Medicine
(Licence: WY  6739A)
208000000X Pediatrics
(Licence: WY  6739A)
Enumeration Date2015-07-24
Last Update Date2015-07-24
Business Address
UPSTREAM HEALTH SERVICES, P.C.
250 N EVARTS ST
POWELL, WY 82435-2718
Phone number: 307-254-0801
Mailing Address
UPSTREAM HEALTH SERVICES, P.C.
250 N EVARTS ST
POWELL, WY 82435-2718
Phone number: 307-254-0801