MRS. Audra Stumbaugh

NPI #1235600891 in Gillette, Wyoming

Provider Information

NPI Number: 1235600891
Entity Type: Individual
Name: MRS. Audra Stumbaugh
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Enumeration Date: Dec 7, 2018
Last Updated: Dec 7, 2018

Practice Location

Address: 10 ARCTIC AVE
City: Gillette
State: Wyoming
ZIP Code: 82718-4171
Phone: (307) 670-2181

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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