Gary Mundy Md Llc

LBN: Gary Mundy Md Llc
Gary Mundy Md Llc is an health care organization with primary practice located at 1955 Coffeen Ave , Sheridan WY 82801-5713. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Gary Mundy Md Llc can be contacted via phone (307) 673-7560, or through Mundy, Gary D via phone (307) 673-7560.

Contact Information

Primary practice address
1955 Coffeen Ave Sheridan WY 82801-5713
Phone: (307) 673-7560
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Mundy, Gary D Doctor of Medicine (MD)
Phone: (307) 673-7560

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 5258A Wyoming

Profile Details

NPI number 1245459775
LBN Legal business name Gary Mundy Md Llc
DBA Doing business as
Authorized official Mundy, Gary D Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 24th, 2007
Last updated Aug 22nd, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245459775 NPPES
Wyoming Other 304445 BLUE CROSS
Wyoming Other DC7593 BLUE CROSS

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