Organization
DIGESTIVE CARE SPECIALISTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY W CLOUD MD (OWNER)
(307) 315-7995
Entity
Organization
Contact information
Practice address
1026 E 2ND ST, CASPER, WY 82601-2902
(307) 333-0002
(307) 333-4425
Mailing address
PO BOX 51670, CASPER, WY 82605-1670
(307) 315-7995
(307) 333-4425
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1518179126
—
TX
Enumeration date
09/13/2019
Last updated
04/06/2020
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