Individual
DR. RICHARD M. JAOUEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1129 E 2ND ST, CASPER, WY 82601-2903
(307) 472-4300
(307) 265-7479
Mailing address
1129 E 2ND ST, CASPER, WY 82601-2903
(307) 472-4300
(307) 265-7479
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
2824A
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
119886600
—
WY
01
—
314782
BLUE CROSS BLUE SHIELD
WY
01
—
P00403110
RAILROAD MEDICARE
WY
Enumeration date
06/29/2006
Last updated
11/03/2014
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