ALTA VISTA CENTER FOR INTEGRATIVE MEDICINE, LLC
Organization (NPI-2)
Active
Internal Medicine
Provider Information
- NPI Number
1598011306- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 313 S 2ND ST SUITE B, LARAMIE, WY, 820703611
- Phone
- (307) 399-3119
- Fax
- (866) 827-3930
Specialties & Taxonomies
Pediatrics
License: WY #7766A
Internal Medicine
Primary License: WY #7766A