Organization
W.MICHAEL CROSBY M.D. PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICAHEL CROSBY M.D. (OWNER)
(208) 525-2090
Entity
Organization
Contact information
Practice address
1503 CRESSETT ST, GILLETTE, WY 82716-3339
(208) 525-2090
(208) 526-2662
Mailing address
1601 E 17TH ST, IDAHO FALLS, ID 83404-6313
(208) 525-2090
(208) 525-2662
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
4201A
WY
Other
Enumeration date
08/15/2012
Last updated
08/15/2012
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