# INTRAWEST MEDICAL SERVICES, P.C

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Emergency Physicians of Laramie
- **Organization subpart:** No

## Provider details

- **NPI number:** 1770503518
- **Authorized official:** DR. DONALD L. CANTWAY M.D. (PRESIDENT)
- **Authorized official phone:** (307) 745-3169

## Contact information

- **Practice address:** 255 N 30TH ST, EMERGENCY DEPARTMENT, LARAMIE, WY 82072-5140
- **Practice address phone:** (307) 742-2142
- **Mailing address:** 3908 E GRAND AVE, SUITE 201, LARAMIE, WY 82070-5173
- **Mailing address phone:** (307) 745-3168
- **Mailing address fax:** (307) 742-8449

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207PE0004X | Emergency Medical Services (Emergency Medicine) Physician | — | NULL | Yes |
| 207PE0004X | Emergency Medical Services (Emergency Medicine) Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/21/2006
- **Last updated:** 10/05/2012