Healthcare Provider Details

I. General information

NPI: 1033953542
Provider Name (Legal Business Name): PATHFINDER MEDICAL LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/20/2024
Last Update Date: 08/08/2024
Certification Date: 08/08/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

116 W BRIDGE AVE SUITE WEST
SARATOGA WY
82331
US

IV. Provider business mailing address

PO BOX 930
SARATOGA WY
82331-0930
US

V. Phone/Fax

Practice location:
  • Phone: 307-326-3507
  • Fax:
Mailing address:
  • Phone: 307-329-3340
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: STEVEN L MARTIN
Title or Position: OWNER
Credential: PA-C
Phone: 307-329-3340