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Individual

DR. JOHN P STAMATO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1585 W 5TH ST, WELCH CANCER CENTER, SHERIDAN, WY 82801-2703
(307) 674-6022
(307) 672-9566
Mailing address
PO BOX 6607, WYOMING ONCOLOGY, SHERIDAN, WY 82801-7101
(307) 674-1566
(307) 674-1566

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
5816A
WY
2085R0001X
Radiation Oncology Physician
DR.0061192
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
111822600
WY
01
5816A
STATE MEDICAL LICENSE
WY
05
9000210504
CO
Enumeration date
05/16/2006
Last updated
04/05/2023
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