MR. Billy Burke Stange, MLT

NPI #1902137862 in Lander, Wyoming

Provider Information

NPI Number
1902137862
Entity Type
Individual
Name
MR. Billy Burke Stange, MLT
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Clinical Medical Laboratory
Credential
MLT
Enumeration Date
Jan 15, 2010
Last Updated
Jan 15, 2010

Practice Location

Address
125 DILLON DR APT 104
City
Lander
State
Wyoming
ZIP Code
82520-2938
Phone
(575) 937-5752

Specialties & Taxonomy Codes

Specialty
Clinical Medical Laboratory

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