PREMISE HEALTH OF WYOMING MEDICAL PC is a multi-specialty clinic center in Cheyenne, WY. PREMISE HEALTH OF WYOMING MEDICAL PC NPI is 1447661319. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Healthworks Med Group Of Wyoming Pc.
The provider's business location address is:
2723 CHRISTENSEN RD
CHEYENNE, WY
ZIP 82007-662
Phone: (307) 637-0736
Fax: (307) 637-0715
The provider's authorized official is Jonathan Leizman .
The authorized official title is President and has the following contact phone number (216) 479-9063.
The CLIA number assigned to this NPI record is 53D2000021 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 5/14/2014 and was last updated on 10/9/2022.