Wyoming Reconstructive & Plastic Surgery LLC

NPI #1417048810 in Casper, Wyoming

Provider Information

NPI Number
1417048810
Entity Type
Organization
Organization Name
Wyoming Reconstructive & Plastic Surgery LLC
Subpart
Yes (part of a larger organization)
Parent Organization
WYOMING MEDICAL CENTER, INC.
Primary Specialty
Surgery - Plastic and Reconstructive Surgery
Enumeration Date
Sep 28, 2006
Last Updated
Jan 16, 2008

Practice Location

Address
918 E 2ND ST
City
Casper
State
Wyoming
ZIP Code
82601-2625
Phone
(307) 472-4300

Authorized Official

Name
MR. NATHAN STUTTE
Title
EXTERNAL FINANCIAL CONTROLLER
Phone
(307) 577-2767

Specialties & Taxonomy Codes

Specialty
Surgery - Plastic and Reconstructive SurgeryPlastic and Reconstructive Surgery

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