Organization · Type 2 NPI
South Sheridan Medical Center, Inc
Primary Care Clinic/Center · Sheridan, WY
NPI number
1568418192
Active
Practice location
1842 Sugarland Drive, Suite 103
Sheridan, WY 82801-5719
Fax (307) 673-4951
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Clinic/Center Primary | 261QP2300X | None listed |
| Physician Assistant | 363A00000X | 240 (WY) |
Primary Care Clinic/Center: Definition to come...
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About NPI 1568418192
South Sheridan Medical Center, Inc's National Provider Identifier is 1568418192, issued on May 25, 2006. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Sheridan, WY. The record was last updated on Jun 4, 2013.