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Organization
INTRAWEST MEDICAL SERVICES, P.C
Active
Organization
INTRAWEST MEDICAL SERVICES, P.C
Active
Other names
Emergency Physicians of Laramie
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DONALD L. CANTWAY M.D. (PRESIDENT)
(307) 745-3169
Entity
Organization
Contact information
Practice address
255 N 30TH ST, EMERGENCY DEPARTMENT, LARAMIE, WY 82072-5140
(307) 742-2142
Mailing address
3908 E GRAND AVE, SUITE 201, LARAMIE, WY 82070-5173
(307) 745-3168
(307) 742-8449
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
—
NULL
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
—
—
Other
Enumeration date
07/21/2006
Last updated
10/05/2012
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