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Organization
WOPS INC
Active
Organization
WOPS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PETER GEORGE PERAKOS MD (OWNER)
(307) 634-1311
Entity
Organization
Contact information
Practice address
5050 POWDERHOUSE RD, CHEYENNE, WY 82009-4800
(307) 634-1311
(307) 634-1271
Mailing address
5050 POWDERHOUSE ROAD, CHEYENNE, WY 82009
(307) 634-1311
(307) 634-1271
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
109466100
—
WY
01
—
315049
BLUE CROSS/BLUE SHIELD
WY
Enumeration date
12/05/2005
Last updated
12/09/2009
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