Individual
DANIEL SAMELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1522 E A ST, CASPER, WY 82601-2221
(307) 234-6161
Mailing address
1522 E A ST, CASPER, WY 82601-2221
(307) 234-6161
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
219-T2
WY
390200000X
Student in an Organized Health Care Education/Training Program
—
WY
Other
Enumeration date
05/16/2023
Last updated
03/31/2025
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