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Organization
THOMAS E. SPICER, MD, PC
Active
Organization
THOMAS E. SPICER, MD, PC
Active
Parent organization
THOMAS E. SPICER, MD. PC AMBULATORY SURGERY CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
THOMAS E. SPICER, MD. PC AMBULATORY SURGERY CENTER
Authorized official
DR. THOMAS E SPICER MD (OWNER)
(307) 362-8211
Entity
Organization
Contact information
Practice address
1208 HILLTOP DR STE 103, ROCK SPRINGS, WY 82901-5858
(307) 362-8211
(307) 382-3451
Mailing address
1208 HILLTOP DR STE 103, ROCK SPRINGS, WY 82901-5858
(307) 362-8211
(307) 382-3451
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
2513A
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103963600
—
WY
01
—
1093998098
THOMAS E. SPICER, MD GROUP NPI NUMBER
WY
01
—
1821171349
THOMAS E. SPICER NPI NUMBER
WY
01
—
18368920147
KRIS SHERWIN, PA-C NPI NUMBER
WY
01
—
240000693
RAILROAD MEDICARE
WY
01
—
24000693
RAILROA MEDICARE GROUP NUMBER PTAN
WY
01
—
DN9829
RAILROAD MEDICARE GROUP PTAN
WY
01
—
W308595
MEDICARE GROUP
WY
01
—
W308596
KRIS SHERWIN PA-C MEDICARE NUMBER
WY
Enumeration date
09/01/2009
Last updated
09/01/2009
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