Organization · NPI-2

Gary Mundy MD LLC

Family Medicine · Sheridan, WY

NPI number1245459775
StatusActive
Last updated in NPPESAug 22, 2020

Details

NPI
1245459775
Entity type
Organization (NPI-2)
Legal business name
Gary Mundy MD LLC
Organization subpart
No
Enumeration date
Apr 24, 2007
Last updated
Aug 22, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine5258AWYYes

Practice location

1955 Coffeen Ave
Sheridan, WY 82801-5713

Phone 307-673-7560

Mailing address

1955 Coffeen Ave
Sheridan, WY 82801-5713

Phone 307-673-7560

Authorized official

Gary D Mundy
Owner
3076737560

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Family Medicine providers in Sheridan, WY