Provider Demographics
NPI:1831332154
Name:UMC MULTI SPECIALTY PHYSICIANS GROUP
Entity type:Organization
Organization Name:UMC MULTI SPECIALTY PHYSICIANS GROUP
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:BUSINESS OFFICE SUPERVISOR
Authorized Official - Prefix:
Authorized Official - First Name:AMALIA
Authorized Official - Middle Name:
Authorized Official - Last Name:OLSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:307-432-3844
Mailing Address - Street 1:1950 BLUEGRASS CIR STE 200
Mailing Address - Street 2:
Mailing Address - City:CHEYENNE
Mailing Address - State:WY
Mailing Address - Zip Code:82009-7364
Mailing Address - Country:US
Mailing Address - Phone:307-778-2577
Mailing Address - Fax:307-635-6587
Practice Address - Street 1:DEPT 2186
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80291-0001
Practice Address - Country:US
Practice Address - Phone:307-778-2577
Practice Address - Fax:307-635-6587
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:UMC MULTI SPECIALTY PHYSICIANS GROUP
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-04-16
Last Update Date:2009-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty