CREEKSIDE MEDICAL LLC

CHEYENNE, WY
NPI1487167052
Entity TypeOrganization
Authorized ContactMATTHEW WAVRA
Managing Member
425-890-6239
Organization Subpart ?No
Primary Taxonomy204R00000X Electrodiagnostic Medicine
Enumeration Date2017-11-06
Last Update Date2018-09-20
Business Address
CREEKSIDE MEDICAL LLC
1910 THOMES AVE
CHEYENNE, WY 82001-3527
Phone number: 425-890-6239
Mailing Address
CREEKSIDE MEDICAL LLC
4580 KLAHANIE DR SE # 252
ISSAQUAH, WA 98029-5812
Phone number: 833-613-9084
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