Individual
EZDAN A FLUCKIGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
625 ALBANY AVE, TORRINGTON, WY 82240-1530
(307) 532-2107
Mailing address
625 ALBANY AVE, TORRINGTON, WY 82240-1530
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
6099A
WY
Other
Enumeration date
09/20/2006
Last updated
01/05/2011
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