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Organization
WYOMING OTOLARYNGOLOGY, P.C.
Active
Organization
WYOMING OTOLARYNGOLOGY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHELIA S ELLIOTT (OFFICE MANAGER)
(307) 577-4242
Entity
Organization
Contact information
Practice address
6500 E 2ND ST, SUITE 101, CASPER, WY 82609-4338
(307) 577-4242
(307) 577-0012
Mailing address
6500 E 2ND ST, SUITE 101, CASPER, WY 82609-4338
(307) 577-4242
(307) 577-0012
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
—
WY
332S00000X
Hearing Aid Equipment
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
106280800
—
WY
Enumeration date
05/05/2006
Last updated
07/15/2011
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