Individual
SANDRA SLADE MOSSBROOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
8204 STATE HIGHWAY 789, LANDER, WY 82520-2941
(307) 335-6716
(307) 335-6991
Mailing address
4251 VALLEY GREEN CIRCLE, RIVERTON, WY 82501-5453
(307) 856-5600
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
3296A
WY
Other
Enumeration date
12/04/2006
Last updated
07/08/2007
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