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Memorial Hospital Of Converse County
General Practice Physician in Douglas, Wyoming
NPI 1356496491

Memorial Hospital Of Converse County is a General Practice Physician based in Douglas, WY. Memorial Hospital Of Converse County practices in Douglas, WY. The NPI Number for Memorial Hospital Of Converse County is 1356496491 and holds a License No. (Wyoming).

The current practice location address for Memorial Hospital Of Converse County is 111 S 5Th St, Douglas, WY and can be reached out via phone at 307-358-2122 and via fax at 307-358-9216.

Location: 111 S 5Th St, Douglas, WY, 82633-1450
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1356496491
Provider Name
Memorial Hospital Of Converse County
Credential
Provider Entity Type
Organization
Address
111 S 5Th St, Douglas, WY, 82633-1450
Phone Number
307-358-2122
Fax Number
307-358-9216
Provider Enumeration Date
01/25/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00946001 01 WY BLUE CROSS WY PHYS GROUP
institution
Provider Business Practice Location Address Details
Address
111 S 5Th St
City
Douglas
State
Wyoming
Zip
82633-2434
Phone Number
307-358-2122
Fax Number
307-358-9216
person
Provider Business Mailing Address Details
Address
111 S 5Th St
City
Douglas
State
Wyoming
Zip
82633-2434
Phone Number
307-358-2122
Fax Number
307-358-9216
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
(Wyoming)
Definition
Definition to come...
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