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ALTA VISTA CENTER FOR INTEGRATIVE MEDICINE LLC NPI 1598011306


NPI Information

NPI: 1598011306
Provider Name: ALTA VISTA CENTER FOR INTEGRATIVE MEDICINE, LLC
Classification: Internal Medicine - 207R00000X
Entity Type: Organization
Address:
313 S 2ND ST
SUITE B
LARAMIE, WY
ZIP 82070
Phone: (307) 399-3119
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ALTA VISTA CENTER FOR INTEGRATIVE MEDICINE, LLC is an internal medicine in Laramie, WY. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. ALTA VISTA CENTER FOR INTEGRATIVE MEDICINE, LLC NPI is 1598011306. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

313 S 2ND ST
SUITE B
LARAMIE, WY
ZIP 82070-611
Phone: (307) 399-3119
Fax: (866) 827-3930

The provider's authorized official is William S. Fitterman .
The authorized official title is Ceo/medical Director and has the following contact phone number (307) 399-3119.

The enumeration date for this NPI number is 7/30/2012 and was last updated on 7/30/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208000000XPediatrics7766AWYOMINGNo
2207R00000XInternal Medicine7766AWYOMINGYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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