Individual
ARCHIE BROOKS ALLISON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2100 W SUNSET DR, RIVERTON, WY 82501-2274
(307) 857-3590
(307) 857-3553
Mailing address
2100 W SUNSET DR, RIVERTON, WY 82501-2274
(307) 857-3590
(307) 857-3553
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
4404A
WY
Other
Enumeration date
04/13/2006
Last updated
07/08/2007
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