Individual
DR. THOMAS OTTO MAYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1050 MYDLAND RD, SHERIDAN, WY 82801-2186
(307) 673-6300
(307) 673-6303
Mailing address
1050 MYDLAND RD, SHERIDAN, WY 82801-2186
(307) 673-6300
(307) 673-6303
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
6950A
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05696001
BCBS CLINIC NUMBER
WY
05
—
119441100
—
WY
05
—
120469600
—
WY
01
—
148019300
FEDERAL WORKERS COMPENSAT
—
01
—
313252
BCBS INDIVIDUAL
WY
Enumeration date
10/06/2005
Last updated
07/09/2007
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