207XX0005X
Laramie, WY
Specialty
207XX0005X
Credential
MD
NPI
1184638165
1909 Vista Drive, Laramie, WY 82070
(307) 745-8851Confirm current license and practice information on the official CMS NPI registry.
View NPI RecordThis surgeon specializes in 207xx0005x procedures performed in an outpatient ambulatory surgical setting.
NUCC Taxonomy: 207XX0005X