Wyoming Urology, P.c.

NPI #1518248756 in Lander, Wyoming

Provider Information

NPI Number: 1518248756
Entity Type: Organization
Organization Name: Wyoming Urology, P.c.
Primary Specialty: Specialist
Enumeration Date: Sep 1, 2011
Last Updated: Sep 1, 2011

Practice Location

Address: 1510 W. MAIN STREET
City: Lander
State: Wyoming
ZIP Code: 82520
Phone: (307) 332-2271

Authorized Official

Name: DR. MICHAEL CHARLES MCMANUS, M.D.
Title: PRESIDENT
Phone: (307) 332-2271

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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