163WR0006X
Laramie, WY
Specialty
163WR0006X
Credential
CNOR
NPI
1811195613
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 163wr0006x procedures performed in an outpatient ambulatory surgical setting.
NUCC Taxonomy: 163WR0006X