DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: WINDRIVER MEDICAL ASSOCIATES, LLC

MEDICARE: WINDRIVER MEDICAL ASSOCIATES, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12085N0700XNeuroradiology Physician
22085R0202XDiagnostic Radiology Physician

General Provider Information

NPI Number : 1215561378
Entity Type Code : Organization
Provider Name (Legal Business Name) : WINDRIVER MEDICAL ASSOCIATES, LLC
Provider Business Mailing Address
First Line : 2620 COMMERCIAL WAY STE 10
Second Line :
City : ROCK SPRINGS
State : WY
Zip : 82901-4705
Country : US
Telephone Number : 307-372-4282
Fax Number : 307-382-4291
Provider Business Practice Location Address
First Line : 2620 COMMERCIAL WAY STE 10
Second Line :
City : ROCK SPRINGS
State : WY
Zip : 82901-4705
Country : US
Telephone Number : 307-372-4282
Fax Number : 307-382-4291
Authorized Official
Title or Position : OWNER
Name : CAMERON J EVANS
Credential : MD
Telephone Number : 307-372-4282
Provider Enumeration Date : 02/27/2020
Last Update Date : 02/27/2020

Similar Medicare Providers

1851383822 — DR. JED SHAY M.D.
Practice Location Address:
2620 COMMERCIAL WAY STE 20
ROCK SPRINGS, WY
82901-4705
Practice Phone: 307-212-6270
Practice Fax: 307-212-6271
1316981798 — MS. MEGHAN ANN MC MACKIN ARNP
Practice Location Address:
2620 COMMERCIAL WAY STE 20
ROCK SPRINGS, WY
82901-4705
Practice Phone: 307-212-6270
Practice Fax:
1356533657 — MS. SHARLOTTE JANE SHORE RNFA
Practice Location Address:
2620 COMMERCIAL WAY STE 20
ROCK SPRINGS, WY
82901-4705
Practice Phone: 307-212-6270
Practice Fax: 307-212-6271
1023398906 — PAIN CARE CENTER, LLC
Practice Location Address:
2620 COMMERCIAL WAY STE 20
ROCK SPRINGS, WY
82901-4705
Practice Phone: 307-212-6270
Practice Fax: 307-212-6271
1386262392 — BARBARA JO JUAREZ AGNP
Practice Location Address:
2620 COMMERCIAL WAY STE 20
ROCK SPRINGS, WY
82901-4705
Practice Phone: 307-212-6270
Practice Fax: 307-212-6271
1770189326 — PAIN CARE CENTER LLC
Practice Location Address:
2620 COMMERCIAL WAY STE 20
ROCK SPRINGS, WY
82901-4705
Practice Phone: 307-212-6270
Practice Fax:

Directions to “WINDRIVER MEDICAL ASSOCIATES, LLC ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.