| NPI | 1558657650 |
|---|---|
| Other Name | WYOMING FAMILY PRACTICE |
| Entity Type | Organization |
| Authorized Contact | BETH C. ROBITAILLE Program Director 307-234-6161 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2011-06-27 |
| Last Update Date | 2023-02-17 |