COWBOY MEDICAL GROUP PC NPI 1154836617

NPI Information

COWBOY MEDICAL GROUP PC is a rural health clinic center in Worland, WY. COWBOY MEDICAL GROUP PC NPI is 1154836617. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1125 CHARLES AVE
WORLAND, WY
ZIP 82401-021
Phone: (307) 347-2449

The provider's authorized official is Wade T Bomengen .
The authorized official title is Owner and has the following contact phone number (307) 347-2449.

The enumeration date for this NPI number is 12/6/2017 and was last updated on 1/19/2018.

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:

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