| Wyoming Endocrine & Diabetes Clinic Llc | |
|
940 E 3rd St Suite 211 Casper WY 82601-3237 | |
| (307) 237-8400 | |
| (307) 233-0290 |
| Full Name | Wyoming Endocrine & Diabetes Clinic Llc |
|---|---|
| Speciality | Internal Medicine - Endocrinology, Diabetes & Metabolism |
| Location | 940 E 3rd St, Casper, Wyoming |
| Authorized Official Name and Position | Nathan Stutte (EXTERNAL FINANCIAL CONTROLLER) |
| Authorized Official Contact | 3075772767 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wyoming Endocrine & Diabetes Clinic Llc Po Box 51106 Casper WY 82605 Ph: (307) 237-8400 | Wyoming Endocrine & Diabetes Clinic Llc 940 E 3rd St Suite 211 Casper WY 82601-3237 Ph: (307) 237-8400 |
| NPI Number | 1962593368 |
|---|---|
| Provider Enumeration Date | 09/28/2006 |
| Last Update Date | 01/16/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962593368 | NPI | - | NPPES |
| 06060001 | Other | WY | BLUE CROSS BLUE SHIELD |
| DF9300 | Other | WY | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | (* (Not Available)) | Primary |
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