University of Wyoming

NPI #1770198764 in Casper, Wyoming

Provider Information

NPI Number: 1770198764
Entity Type: Organization
Organization Name: University of Wyoming
Primary Specialty: Family Medicine
Enumeration Date: Sep 15, 2020
Last Updated: Sep 15, 2020

Practice Location

Address: 1522 E A ST
City: Casper
State: Wyoming
ZIP Code: 82601-2217
Phone: (307) 233-6161

Authorized Official

Name: BETH C ROBITAILLE, MD
Title: CMO
Phone: (307) 234-6161

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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