Individual
STEPHEN E. MAININI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
707 SHERIDAN AVE, CODY, WY 82414
(307) 527-7501
Mailing address
707 SHERIDAN AVE, CODY, WY 82414-3409
(307) 527-7501
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
5225A
WY
207RP1001X
Pulmonary Disease Physician
Primary
5225A
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0116376
MT MDCD PIN
MT
01
—
108527100
WY MDCD PIN
WY
01
—
314478
BCBS PIN
WY
01
—
314481
WYOMING BCBS
WY
01
—
925161030920
PREFERRED ONE PIN
WY
Enumeration date
09/06/2006
Last updated
10/05/2020
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