Most Relevant Information
Provider Data
| NPI Number: | 1003490145 |
| Provider Name: | JEREMY ALAN FLANDERS |
| Entity Type: | Individual |
| Taxonomy Code: | 251B00000X |
| Specialty: | Case Management |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/05/2021 |
| Last Updated: | 02/21/2024 |
Provider Practice Location
2115 E SHERIDAN ST
LARAMIE
WY
820704332
Practice Location Phone/Fax
| Phone: | 3076202556 |
| Fax: |
Provider Mailing Location
PO BOX 272
STORY
WY
828420272
Provider Mailing Phone/Fax
| Phone: | 3076202556 |
| Fax: |