Organization
CENTRAL WYOMING NEUROSURGERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMI RUX (BUSINESS MANAGER)
(307) 473-6730
Entity
Organization
Contact information
Practice address
6600 E 2ND ST, CASPER, WY 82609-4348
(307) 266-4000
(307) 266-4545
Mailing address
6600 E 2ND ST, CASPER, WY 82609-4348
(307) 266-4000
(307) 266-4545
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
—
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
120551000
—
WY
Enumeration date
11/07/2006
Last updated
09/18/2008
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