Individual
WILLIAM ANTHONY HARRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
800 E 20TH ST, SUITE 350, CHEYENNE, WY 82001-3859
(307) 996-1560
(307) 996-1565
Mailing address
PO BOX 20970, CHEYENNE, WY 82003-7020
(307) 996-1560
(307) 996-1565
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
5769A
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110746100
—
WY
01
—
5769A
STATE LICENSE
WY
01
—
710WH95
SUBSTANCE CONTROL
WY
Enumeration date
11/25/2005
Last updated
11/08/2022
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