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Individual

SUZANNE E K OSS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
916 JACKSON AVE, SHERIDAN, WY 82801-2708
(307) 675-5555
(307) 675-5599
Mailing address
916 JACKSON AVE, SHERIDAN, WY 82801-2708
(307) 675-5555
(307) 675-5599

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
7342A
WY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
122101900
WY
01
313979
BLUE CROSS
WY
Enumeration date
06/25/2006
Last updated
06/30/2011
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