Organization
WYOMING CENTER FOR SIGHT P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW TAYLOR DODDS M.D. (OWNER)
(307) 237-2511
Entity
Organization
Contact information
Practice address
1421 WILKINS CIR, CASPER, WY 82601-1337
(307) 237-2511
(307) 237-7351
Mailing address
1421 WILKINS CIR, CASPER, WY 82601-1337
(307) 237-2511
(307) 237-7351
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
4462A
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00938001
BLUE CROSS BLUE SHIELD
WY
05
—
108875100
—
WY
Enumeration date
01/12/2007
Last updated
06/29/2011
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