Individual
TIMOTHY LOGAN COURSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1052 PETERSDORF DR, RIVERTON, WY 82501-2308
(307) 251-8158
Mailing address
PO BOX 504, CASPER, WY 82602-0504
Taxonomy
Speciality
Code
Description
License number
State
146L00000X
Paramedic
Primary
110151
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110151
WYOMING OFFICE OF EMS
WY
Enumeration date
06/19/2026
Last updated
06/19/2026
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