MARTI JO SIDWELL
Individual Provider (NPI-1)
Active
Case Management
Provider Information
- NPI Number
1174982045- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 400 N 100 E SUITE 205, GREEN RIVER, WY, 82935
- Phone
- (307) 362-2424
- Fax
- (307) 222-0614
Specialties & Taxonomies
Case Management
Primary