Individual
DR. RICHARD JAY CAPENER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
196 ARROWHEAD DR STE 1, EVANSTON, WY 82930
(307) 783-8136
(307) 783-8254
Mailing address
196 ARROWHEAD DR STE 1, EVANSTON, WY 82930-8752
(077) 838-1363
(307) 783-8254
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
02991
WY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1225327000
RESIDENCY
NY
01
—
710
STATE OF WYOMING DEPARTMENT OF COMMERCE
WY
01
—
7790806-1202
STATE OF UTAH DEPARTMENT OF COMMERCE
UT
Enumeration date
04/01/2011
Last updated
09/25/2019
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