Graduated: 2024
NPI: 1780942573
Practice Locations (3)
WOUND CARE OF WYOMING LLC
CASPER, WY 82601
3074318287
LEGACY MEDICAL LLC
1930 E 12TH ST
CASPER, WY 826014075
3072652273
LEGACY PRIMARY CARE PLLC
1930 E 12TH ST, SUITE 106
CASPER, WY 826014077
7015164637
Source: CMS National Downloadable File, September 2026.