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Individual

DR. ARI DAVID AMITAI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4140 CENTENNIAL HILLS BLVD STE A, CASPER, WY 82609-3265
(307) 265-7205
(307) 235-6262
Mailing address
4140 CENTENNIAL HILLS BLVD STE A, CASPER, WY 82609-3265
(307) 265-7205
(307) 235-6262

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
10391490-1205
UT
207X00000X
Orthopaedic Surgery Physician
Primary
12630A
WY
207X00000X
Orthopaedic Surgery Physician
FE167365
OR
207X00000X
Orthopaedic Surgery Physician
MD61448004
WA
207XP3100X
Pediatric Orthopaedic Surgery Physician
FE167365
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
FE167365
LICENSE
OR
Enumeration date
06/16/2014
Last updated
02/03/2025
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