PREMISE HEALTH OF WYOMING MEDICAL PC is a primary care clinic center in Gillette, WY. PREMISE HEALTH OF WYOMING MEDICAL PC NPI is 1851535793. The provider is registered as an organization entity type.
The provider Is Doing Business As Coalition Family Health Center.
The provider's business location address is:
430 S MEDICAL ARTS CT
GILLETTE, WY
ZIP 82716-364
Phone: (307) 685-6500
Fax: (307) 685-3081
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 53D1089924 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 4/22/2009 and was last updated on 10/13/2022.