# WOMENS HEALTHCARE PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1306854302
- **Authorized official:** TOBY R MARSHALL MD (OFFICER)
- **Authorized official phone:** (307) 682-2233

## Contact information

- **Practice address:** 1402 WEST 4TH STREET, GILLETTE, WY 82716-3328
- **Practice address phone:** (307) 682-2233
- **Practice address fax:** (307) 682-2233
- **Mailing address:** 1402 WEST 4TH STREET, GILLETTE, WY 82716-3328
- **Mailing address phone:** (307) 682-2233
- **Mailing address fax:** (307) 682-2165

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/04/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 01241001 | BLUE CROSS BLUE SHIELD | WY |