# WYOMING ENDOCRINE & DIABETES CLINIC LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** WYOMING MEDICAL CENTER, INC.
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1962593368
- **Legal business name:** WYOMING MEDICAL CENTER, INC.
- **Authorized official:** MR. NATHAN STUTTE (EXTERNAL FINANCIAL CONTROLLER)
- **Authorized official phone:** (307) 577-2767

## Contact information

- **Practice address:** 940 E 3RD ST, SUITE 211, CASPER, WY 82601-3237
- **Practice address phone:** (307) 237-8400
- **Practice address fax:** (307) 233-0290
- **Mailing address:** PO BOX 51106, CASPER, WY 82605
- **Mailing address phone:** (307) 237-8400
- **Mailing address fax:** (307) 233-0290

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | NULL | Yes |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/28/2006
- **Last updated:** 01/16/2008
