Fremont Ear Nose and Throat

NPI #1396976577 in Lander, Wyoming

Provider Information

NPI Number: 1396976577
Entity Type: Organization
Organization Name: Fremont Ear Nose and Throat
Primary Specialty: Otolaryngology
Enumeration Date: Aug 5, 2009
Last Updated: Sep 17, 2009

Practice Location

Address: 8185 HIGHWAY 789
City: Lander
State: Wyoming
ZIP Code: 82520-2942
Phone: (307) 335-7555

Authorized Official

Name: DR. WALTER DAVIS MERRITT, MD
Title: PRESIDENT
Phone: (307) 335-7555

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Allergy & Immunology - Allergy — Allergy	207KA0200X
Otolaryngology	207Y00000X	Primary

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