Wyoming Reconstructive & Plastic Surgery Llc in Casper - Plastic And Reconstructive Surgery
Wyoming Reconstructive & Plastic Surgery Llc - NPI 1417048810
Wyoming Reconstructive & Plastic Surgery Llc is a Plastic And Reconstructive Surgery in Casper, . Wyoming Reconstructive & Plastic Surgery Llc practices all healthcare services and medical treatments related to Plastic And Reconstructive Surgery. The NPI Number for Wyoming Reconstructive & Plastic Surgery Llc is 1417048810. The last update date is 2008-01-16.
Wyoming Reconstructive & Plastic Surgery Llc's current location address is Po Box 51076, Casper, . You can contact this provider via phone number 3074724300 and fax number 3074724311. The mailing address for Wyoming Reconstructive & Plastic Surgery Llc is Po Box 51076, Casper, . To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Wyoming Reconstructive & Plastic Surgery Llc |
|---|---|
| Address | Po Box 51076, Casper, |
| Phone Number | 3074724300 |
| Fax Number | 3074724311 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EXTERNAL F |
|---|---|
| Authorized Official Name | Stutte Nathan |
| Telephone Number | 3075772767 |
NPI Number Detail
| NPI Number | 1417048810 |
|---|---|
| Provider Enumeration Date | 2006-09-28 |
| Last Updated Date | 2008-01-16 |
Provider Mailing Address Detail
| Address | Po Box 51076 |
|---|---|
| City | Casper |
| State | (WY) |
| Post Code | 82605 |
| Phone Number | 3074724300 |
| Fax Number | 3074724311 |
Provider's Primary Taxonomy Detail
| Speciality | Plastic And Reconstructive Surgery |
|---|---|
| Taxonomy | 2086S0122X |
|
Definition: A surgeon who specializes in plastic and reconstructive surgery. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 6059001 | WY | BLUE CROSS BLUE SHIELD | |
| DF9302 | WY | RAILROAD MEDICARE |
Post Comment/ Review Below
What is the unique identifier code issued to Wyoming Reconstructive & Plastic Surgery Llc by the Centers for Medicare & Medicaid Services (CMS)?
The Wyoming Reconstructive & Plastic Surgery Llc has been assigned the NPI (National Provider Identifier) 1417048810. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Where is the Wyoming Reconstructive & Plastic Surgery Llc located?
The Wyoming Reconstructive & Plastic Surgery Llc is located at Po Box 51076, Casper, WY 82605.
What is the Wyoming Reconstructive & Plastic Surgery Llc's specialty and taxonomy code?
The Wyoming Reconstructive & Plastic Surgery Llc's specialty is Plastic And Reconstructive Surgery, and the corresponding taxonomy code is 2086S0122X.
On what date was the 1417048810 assigned to Wyoming Reconstructive & Plastic Surgery Llc?
The Wyoming Reconstructive & Plastic Surgery Llc was issued its 1417048810 on 2006-09-28, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Wyoming Reconstructive & Plastic Surgery Llc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Wyoming Reconstructive & Plastic Surgery Llc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-01-16.
NPI Number: 1720081763
Address: 675 E Highway 60, Hardinsburg, KY