Individual
PATRICK W. TUFTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
255 N 30TH ST, LARAMIE, WY 82072-5140
(307) 755-4406
Mailing address
255 N 30TH ST, LARAMIE, WY 82072-5140
(307) 755-4406
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
10857
MT
207Q00000X
Family Medicine Physician
2015003661
MO
207Q00000X
Family Medicine Physician
Primary
8720A
WY
207Q00000X
Family Medicine Physician
M-12773
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
044885
—
MT
01
—
84761
MEDICARE PART B
MT
01
—
99758
BC/BS OF MONTANA
—
Enumeration date
08/16/2006
Last updated
01/04/2017
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