Organization
CASPER MEDICAL IMAGING, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY RHEA MD (PRESIDENT)
(307) 265-1620
Entity
Organization
Contact information
Practice address
419 SOUTH WASHINGTON STREET, SUITE 101, CASPER, WY 82601
(307) 265-1620
(307) 237-1074
Mailing address
419 SOUTH WASHINGTON STREET, SUITE 101, CASPER, WY 82601
(307) 265-1620
(307) 237-1074
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
2085R0204X
Vascular & Interventional Radiology Physician
—
—
2086S0129X
Vascular Surgery Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10028819300
—
NE
05
—
106191700
—
WY
Enumeration date
03/31/2006
Last updated
06/17/2024
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