PREMISE HEALTH OF WYOMING MEDICAL PC

CHEYENNE, WY
NPI1447661319
Entity TypeOrganization
Authorized ContactJONATHAN LEIZMAN
President
216-479-9063
Organization Subpart ?No
Primary Taxonomy261QM1300X Clinic/Center Multi-Specialty
Enumeration Date2014-05-14
Last Update Date2022-10-09
Business Address
PREMISE HEALTH OF WYOMING MEDICAL PC
2723 CHRISTENSEN RD
CHEYENNE, WY 82007-9662
Phone number: 307-637-0736
Mailing Address
PREMISE HEALTH OF WYOMING MEDICAL PC
5500 MARYLAND WAY STE 120
BRENTWOOD, TN 37027-4993
Phone number: