Most Relevant Information
Provider Data
| NPI Number: | 1003195736 |
| Provider Name: | MISTY A DI MEGLIO |
| Entity Type: | Individual |
| Taxonomy Code: | 172V00000X |
| Specialty: | Community Health Worker |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/11/2011 |
| Last Updated: | 08/11/2011 |
Provider Practice Location
2538 BIG HORN AVE
CODY
WY
824149299
Practice Location Phone/Fax
| Phone: | 3075872197 |
| Fax: |
Provider Mailing Location
2538 BIG HORN AVE
CODY
WY
824149299
Provider Mailing Phone/Fax
| Phone: | 3075872197 |
| Fax: |