William H. and Carrie Gottsche Foundation

NPI #1629322037 in Cody, Wyoming

Provider Information

NPI Number: 1629322037
Entity Type: Organization
Organization Name: William H. and Carrie Gottsche Foundation
Primary Specialty: Point of Service
Enumeration Date: Nov 7, 2012
Last Updated: Nov 7, 2012

Practice Location

Address: 790 LINDSAY LN
City: Cody
State: Wyoming
ZIP Code: 82414
Phone: (307) 578-1970

Authorized Official

Name: CHERYL SHERO
Title: EXECUTIVE DIRECTOR
Phone: (307) 864-2146

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Point of Service	305S00000X	Primary

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