Provider First Line Business Practice Location Address:
450 MOUNTAIN VIEW
Provider Second Line Business Practice Location Address:
POWELL VALLEY HEALTHCARE
Provider Business Practice Location Address City Name:
POWELL
Provider Business Practice Location Address State Name:
WY
Provider Business Practice Location Address Postal Code:
82435
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
307-754-7257
Provider Business Practice Location Address Fax Number:
307-754-1226
Provider Enumeration Date:
08/29/2006