Jennifer J. Thomas Mdpc
Family Medicine in Gillette, WY. Organization (NPI-2).
NPI number1982807848
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1982807848
- Entity type
- Organization (NPI-2)
- Legal business name
- Jennifer J. Thomas Mdpc
- Organization subpart
- No
- Enumeration date
- Jun 7, 2007
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 5441A | WY | Yes |
Practice location
1204 W 4th AveSuite #3
Gillette, WY 82716-2607
Phone 307-685-0222
Mailing address
Po Box 7150Gillette, WY 82717-7150
Phone 307-685-0222
Authorized official
Steve P Bailey
Billing Agent
3076871720
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