Organization
SHERIDAN SURGICAL CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID CARTER BSN (ADMINISTRATOR)
(307) 672-7874
Entity
Organization
Contact information
Practice address
1524 W 5TH ST, SHERIDAN, WY 82801-2707
(307) 672-7874
(307) 673-0655
Mailing address
1524 W 5TH ST, SHERIDAN, WY 82801-2707
(307) 672-7874
(307) 673-0655
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
07-012
WY
Other
Enumeration date
12/18/2006
Last updated
03/27/2008
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