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Organization

TOM A NACHTIGAL MD FACS PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. TOM A. NACHTIGAL M.D. (PHYSICIAN)
(307) 745-8442
Entity
Organization

Contact information

Practice address
3125 E GRAND AVE STE B, LARAMIE, WY 82070-5137
(307) 745-8442
(307) 742-0036
Mailing address
3125 E GRAND AVE STE B, LARAMIE, WY 82070-5137
(307) 745-8442
(307) 742-0036

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
4490A
WY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
116885100
WY
01
311227
BLUE CROSS BLUE SHIELD WY
WY
Enumeration date
09/27/2007
Last updated
07/02/2008
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