| Ezdan A Fluckiger, MD | |
|
625 Albany Ave, Torrington, WY 82240-1530 | |
| (307) 532-2107 | |
| Not Available |
| Full Name | Ezdan A Fluckiger |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 625 Albany Ave, Torrington, Wyoming |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326146846 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 6099A (Wyoming) | Primary |
| Entity Name | Community Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669410643 PECOS PAC ID: 6608784194 Enrollment ID: O20040127001124 |
| Mailing Address | Practice Location Address |
|---|---|
| Ezdan A Fluckiger, MD 625 Albany Ave, Torrington, WY 82240-1530 Ph: () - | Ezdan A Fluckiger, MD 625 Albany Ave, Torrington, WY 82240-1530 Ph: (307) 532-2107 |
Mr. Paul N Langevin, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2000 Campbell Dr, Torrington, WY 82240 Phone: 307-534-7165 Fax: 307-532-5381 | |
Bonnie L. Randolph, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 625 Albany Ave, Torrington, WY 82240 Phone: 307-532-2107 | |
Dr. Norma S Cantu, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 625 Albany Ave, Banner Medical Clinic, Torrington, WY 82240 Phone: 307-532-2107 Fax: 307-532-5617 | |
Marion N. Smith, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 625 Albany Ave, Torrington, WY 82240 Phone: 307-532-2107 | |
Issifi Karimou, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 625 Albany Ave, Torrington, WY 82240 Phone: 307-534-7058 Fax: 307-532-5617 | |
Millard Todd Berry, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 625 Albany Ave, Torrington, WY 82240 Phone: 307-532-2107 |