Individual
GREGORY S STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
225 W YELLOWSTONE AVE, SUITE 9, CODY, WY 82414-8702
(307) 587-5131
(307) 587-5132
Mailing address
225 W YELLOWSTONE AVE, SUITE 9, CODY, WY 82414-8702
(307) 587-5131
(307) 587-5132
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
7308A
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
122121300
—
WY
01
—
314014
BLUE CROSS BLUE SHIELD
WY
Enumeration date
02/27/2006
Last updated
03/04/2015
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