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NPI 1962544742 · live from the CMS NPI Registry

Applegate Family Practice Clinic LLC

Family Medicine in Rock Springs, WY. National Provider Identifier 1962544742, active.

NPI record

NPI1962544742 Type 2 · organization
StatusActive
Primary specialtyFamily Medicine 207Q00000X
Practice location1204 Hilltop Dr, 111, Rock Springs, WY 82901
Practice phone307-371-7192
Mailing addressPo Box 343, Rock Springs, WY 82902
EnumeratedFebruary 12, 2007
Last updatedAugust 22, 2020
Authorized officialThomas Applegate, Owner

Taxonomies and licenses

TaxonomyCodeLicense
Family Medicine primary207Q00000X7207A (WY)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.