HomeNPI Verification

NPI Verification

National Provider Identifier: 1598011306

Alta Vista Center for Integrative Medicine, LLC

Organization

Primary Specialty

Internal Medicine

Code: 207R00000X

All Specialties (2)

Pediatrics

Code: 208000000X

Internal Medicine

Code: 207R00000X

Primary

Practice Address

313 S 2ND ST

SUITE B

LARAMIE, WY 820703611

Phone: 307-399-3119

NPI Enumeration Date

July 30, 2012

NPI Number

1598011306

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