TOTAL FAMILY HEALTH PC NPI 1083806111

NPI Information

TOTAL FAMILY HEALTH, PC is a family nurse practitioner in Rock Springs, WY. TOTAL FAMILY HEALTH, PC NPI is 1083806111. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2620 COMMERCIAL WAY
SUITE 051
ROCK SPRINGS, WY
ZIP 82901-755
Phone: (307) 382-2080
Fax: (307) 382-5099

The provider's authorized official is Laura J Heitz .
The authorized official title is President and has the following contact phone number (307) 382-2080.

The CLIA number assigned to this NPI record is 53D1012896 - practitioner other with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 8/13/2007 and was last updated on 1/25/2010.

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:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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