CLEAR IMAGE LASER STUDIO NPI 1992143648

NPI Information

NPI: 1992143648
Provider Name: CLEAR IMAGE LASER STUDIO
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
532 VAL VISTA ST
SUITE 104
SHERIDAN, WY
ZIP 82801
Phone: (307) 655-8289
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CLEAR IMAGE LASER STUDIO is a primary care clinic center in Sheridan, WY. CLEAR IMAGE LASER STUDIO NPI is 1992143648. The provider is registered as an organization entity type.

The provider's business location address is:

532 VAL VISTA ST
SUITE 104
SHERIDAN, WY
ZIP 82801-655
Phone: (307) 655-8289
Fax: (307) 655-8291

The provider's authorized official is Brenda Sue Mosher .
The authorized official title is Fnp and has the following contact phone number (307) 259-2434.

The enumeration date for this NPI number is 6/4/2013 and was last updated on 6/4/2013.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP2300X	Clinic/Center	Primary Care	9206-1081	WYOMING	Yes

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: 11/14/2023

NPI Synchronization or Removal

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