Applegate Family Practice Clinic LLC

Organization Active NPI Family Medicine Physician · Rock Springs, WY

NPI 1962544742 · NPPES record last updated Aug 22, 2020

Key facts

NPI
1962544742
Entity type
Organization (NPI type 2)
Primary specialty
Family Medicine Physician 207Q00000X
License
7207A (WY)
Legal business name
APPLEGATE FAMILY PRACTICE CLINIC LLC
Practice address
1204 Hilltop Dr
111
Rock Springs, WY 82901-5861
Phone
(307) 371-7192
Fax
(307) 382-7750
NPI assigned
Feb 12, 2007
Organization subpart
No

Authorized official

Name
Dr. Thomas E Applegate, M.D.
Title
Owner
Phone
(307) 371-7192

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Locations

1325 Sage St
Rock Springs, WY 82901
Phone (307) 362-2877

1204 Hilltop Dr
Ste 111
Rock Springs, WY 82901
Phone (307) 371-7192

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician
Group: 193400000X SINGLE SPECIALTY GROUP
207Q00000X 7207A WY Yes

Addresses

Primary practice location

1204 Hilltop Dr
111
Rock Springs, WY 82901-5861

Mailing address

PO Box 343
Rock Springs, WY 82902-0343
Phone (307) 371-7192

Other providers in Rock Springs, WY

All providers in Rock Springs, WY · Family Medicine Physician in Wyoming

Sources for this page

Verify at the official NPI Registry.