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Individual

MR. GARY RICHARD SNELLER II

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHYSICIAN ASSISTANT

Contact information

Practice address
1909 VISTA DR, LARAMIE, WY 82070-5599
(307) 745-8851
(307) 742-0961
Mailing address
1909 VISTA DR, LARAMIE, WY 82070-5599
(077) 458-8513
(307) 742-0942

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary

Other

Enumeration date
10/13/2005
Last updated
01/29/2024
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