institution
Mountain Sage Holistic Clinic, Llc
Primary Care Nurse Practitioner in Dubois, Wyoming
NPI 1376924621

Mountain Sage Holistic Clinic, Llc is a Primary Care Nurse Practitioner based in Dubois, WY and is specialized in Primary Care. Mountain Sage Holistic Clinic, Llc practices in Dubois, WY. The NPI Number for Mountain Sage Holistic Clinic, Llc is 1376924621 and holds a License No. 33105.1295 (Wyoming).

The current practice location address for Mountain Sage Holistic Clinic, Llc is 1428 Warm Springs Dr, Dubois, WY and can be reached out via phone at 307-455-2807 and via fax at 307-455-2809.

Location: 1428 Warm Springs Dr, Dubois, WY, 82513-1428
institution
Provider Profile Details
NPI Number
1376924621
Provider Name
Mountain Sage Holistic Clinic, Llc
Credential
Provider Entity Type
Organization
Address
1428 Warm Springs Dr, Dubois, WY, 82513-1428
Phone Number
307-455-2807
Fax Number
307-455-2809
Provider Enumeration Date
06/12/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
136115500 05 WY
institution
Provider Business Practice Location Address Details
Address
1428 Warm Springs Dr
City
State
Zip
82513-1428
Phone Number
307-455-2807
Fax Number
307-455-2809
person
Provider Business Mailing Address Details
Address
1428 Warm Springs Dr
City
State
Zip
82513-1428
Phone Number
307-455-2807
Fax Number
307-455-2809
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Primary Care
Taxonomy
License No.
33105.1295 (Wyoming)
Definition
Definition to come...
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