Individual
DR. SHELLEY C SPRINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
940 E 3RD ST STE 205, CASPER, WY 82601
(307) 577-4260
(307) 577-4263
Mailing address
6061 RIVER PARK DR, CASPER, WY 82604-5319
(612) 685-6709
(307) 333-4176
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
9791A
WY
2080N0001X
Neonatal-Perinatal Medicine Physician
04-30620
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000648182
ANTHEM
IN
05
—
200370490
—
IN
05
—
472157C8A9
—
WY
Enumeration date
10/14/2005
Last updated
06/10/2019
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