University of Wyoming

NPI #1215228804 in Laramie, Wyoming

Provider Information

NPI Number: 1215228804
Entity Type: Organization
Organization Name: University of Wyoming
Primary Specialty: Clinic/Center - Student Health
Enumeration Date: Apr 29, 2011
Last Updated: Apr 29, 2011

Practice Location

Address: 1000 E UNIVERSITY AVE
City: Laramie
State: Wyoming
ZIP Code: 82071-2000
Phone: (307) 766-2323

Authorized Official

Name: BOB WALLER, ATC
Title: HEAD ATHLETIC TRAINER
Phone: (307) 766-2323

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Student Health — Student Health	261QS1000X	Primary

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