Individual
MR. WILLIAM MICHAEL COMLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3116 WILLETT DRIVE, LARAMIE, WY 82072
(307) 745-8999
(307) 745-4150
Mailing address
3116 WILLETT DRIVE, LARAMIE, WY 82072
(307) 745-8999
(307) 745-4150
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
3486A
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100196500
—
WY
01
—
110006099
RAILROAD MEDICARE
WY
01
—
302206
BCBS
WY
Enumeration date
09/02/2006
Last updated
04/22/2008
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