Individual
MR. AUBREY DOZIER TABB
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
497 W LOTT ST, BUFFALO, WY 82834-1609
(307) 684-2228
(307) 684-2177
Mailing address
1 HILLSIDE DRIVE, BUFFALO, WY 82834-1609
(307) 684-1390
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5076A
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
307700
BLUE CROSS
WY
01
—
307716
BLUE CROSS
WY
Enumeration date
01/09/2006
Last updated
07/08/2007
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