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NPI Verification

National Provider Identifier: 1063467538

Brent Blue, MD

Individual Provider

Credentials

Primary Specialty

Family Medicine

Code: 207Q00000X

All Specialties (3)

Emergency Medicine

Code: 207P00000X

Clinic/Center, Urgent Care

Code: 261QU0200X

Family Medicine

Code: 207Q00000X

Primary

Practice Address

PO BOX 25

WILSON, WY 830140025

Phone: 307-733-7835

NPI Enumeration Date

May 23, 2006

NPI Number

1063467538

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry