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Organization
GERARD P COURNOYER, MD
Active
Organization
GERARD P COURNOYER, MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GERARD P COURNOYER MD (OWNER)
(307) 362-8834
Entity
Organization
Contact information
Practice address
1008 SPRUCEWOOD DR, ROCK SPRINGS, WY 82901-4485
(307) 362-8834
(307) 362-8834
Mailing address
1008 SPRUCEWOOD DR, ROCK SPRINGS, WY 82901-4485
(307) 362-8834
(307) 362-8834
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5467A
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080089812
UHC-MEDICARE
WY
05
—
1121154-00
—
WY
01
—
306857
BCBS OF WY
WY
Enumeration date
12/18/2007
Last updated
12/30/2011
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