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Organization
PROFESSIONAL PATHOLOGY OF WYOMING
Active
Organization
PROFESSIONAL PATHOLOGY OF WYOMING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HOWARD MARTIN MD (AUTHORIZED OFFICIAL)
(877) 697-2447
Entity
Organization
Contact information
Practice address
111 SOUTH JEFFERSON STREET, CASPER, WY 82601
(307) 337-1670
Mailing address
PO BOX 421565, HOUSTON, TX 77242-1565
(307) 577-2198
(419) 866-5453
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
131615000
—
WY
Enumeration date
06/20/2011
Last updated
07/23/2026
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