Intrawest Medical Services, P.c

NPI #1770503518 in Laramie, Wyoming

Provider Information

NPI Number: 1770503518
Entity Type: Organization
Organization Name: Intrawest Medical Services, P.c
Primary Specialty: Emergency Medicine - Emergency Medical Services
Enumeration Date: Jul 21, 2006
Last Updated: Oct 5, 2012

Practice Location

Address: 255 N 30TH ST
Address 2: EMERGENCY DEPARTMENT
City: Laramie
State: Wyoming
ZIP Code: 82072-5140
Phone: (307) 742-2142

Authorized Official

Name: DR. DONALD L. CANTWAY, M.D.
Title: PRESIDENT
Phone: (307) 745-3169

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Emergency Medicine - Emergency Medical Services — Emergency Medical Services	207PE0004X	Primary

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