Organization
NORTHERN WYOMING OPHTHALMOLOGY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARRY P WELCH M.D. (PRESIDENT)
(307) 587-5538
Entity
Organization
Contact information
Practice address
424 YELLOWSTONE AVE, SUITE 110, CODY, WY 82414-9318
(307) 587-5538
(307) 587-4896
Mailing address
424 YELLOWSTONE AVE, SUITE 110, CODY, WY 82414-9318
(307) 587-5538
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04698001
BLUE CROSS BLUE SHEILD
WY
05
—
110675900
—
WY
Enumeration date
11/04/2005
Last updated
10/18/2012
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