With Eagle's Wings

NPI 1578765749 - Clinic/Center - 261QR0405X

NPI Details
NPI 1578765749
Enumeration Date 06/01/2007
Last Updated 08/23/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name LEON EDWARD LEON
Position EXECUTIVE DIRECTOR
Phone (307) 857-5940
Fax (307) 857-5932
Practice Location
11 GREAT PLAIN ROAD
ARAPAHOE WY, 82524-0197, US
Phone (307) 857-5940
Fax (307) 857-5932
Business Location
PO BOX 197
ST STEPHENS WY, 82524-0197, US
Phone (307) 857-5940
Fax (307) 857-5932
Toxanomy
Taxonomy Code 261QR0405X
License State
License Number
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According to our database, With Eagle's Wings NPI is 1578765749, taxonomy code is 261QR0405X With Eagle's Wings physically located at 11 Great Plain Road, Arapahoe WY, 82524-0197. NPI Number 1033115704 has the healthcare provider type.

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1578765749 NPI number is provided on an as is basis without warranty of any kind. 1578765749 is maintained by the National Plan & Provider Enumeration System. The contents of With Eagle's Wings are for informational purposes only.