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Organization

THOMAS E. SPICER, MD, PC

Active
Parent organization
THOMAS E. SPICER, MD. PC AMBULATORY SURGERY CENTER
Organization subpart
Yes

Provider details

NPI number
Legal business name
THOMAS E. SPICER, MD. PC AMBULATORY SURGERY CENTER
Authorized official
DR. THOMAS E SPICER MD (OWNER)
(307) 362-8211
Entity
Organization

Contact information

Practice address
1208 HILLTOP DR STE 103, ROCK SPRINGS, WY 82901-5858
(307) 362-8211
(307) 382-3451
Mailing address
1208 HILLTOP DR STE 103, ROCK SPRINGS, WY 82901-5858
(307) 362-8211
(307) 382-3451

Taxonomy

Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
2513A
WY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
103963600
WY
01
1093998098
THOMAS E. SPICER, MD GROUP NPI NUMBER
WY
01
1821171349
THOMAS E. SPICER NPI NUMBER
WY
01
18368920147
KRIS SHERWIN, PA-C NPI NUMBER
WY
01
240000693
RAILROAD MEDICARE
WY
01
24000693
RAILROA MEDICARE GROUP NUMBER PTAN
WY
01
DN9829
RAILROAD MEDICARE GROUP PTAN
WY
01
W308595
MEDICARE GROUP
WY
01
W308596
KRIS SHERWIN PA-C MEDICARE NUMBER
WY
Enumeration date
09/01/2009
Last updated
09/01/2009
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