Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

307 Longevity PC

Organization Clinic/Center · NPI 1316783673

307 Longevity PC is a Clinic/Center in Cody, Wyoming. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1120 Beck Ave
Cody, WY 82414-3624
Phone: (307) 527-0355
Fax: (307) 527-0360
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinic/Center (primary) Taxonomy 261Q00000X

Record details

NPI number1316783673
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Christopher Thoma — Owner · (307) 899-0009
Other names The Legacy Clinic
NPI enumeratedJuly 6, 2024
Last updated in NPPESJuly 6, 2024
Certification dateJuly 6, 2024
Mailing addressPo Box 308, Wapiti, WY 82450-0308

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