# THOMAS E. SPICER, MD, PC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** THOMAS E. SPICER, MD. PC AMBULATORY SURGERY CENTER
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1033342563
- **Legal business name:** THOMAS E. SPICER, MD. PC AMBULATORY SURGERY CENTER
- **Authorized official:** DR. THOMAS E SPICER MD (OWNER)
- **Authorized official phone:** (307) 362-8211

## Contact information

- **Practice address:** 1208 HILLTOP DR STE 103, ROCK SPRINGS, WY 82901-5858
- **Practice address phone:** (307) 362-8211
- **Practice address fax:** (307) 382-3451
- **Mailing address:** 1208 HILLTOP DR STE 103, ROCK SPRINGS, WY 82901-5858
- **Mailing address phone:** (307) 362-8211
- **Mailing address fax:** (307) 382-3451

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 2513A | WY | Yes |

## Other

- **Enumeration date:** 09/01/2009
- **Last updated:** 09/01/2009

## 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 |