Individual
NATHAN VALENCIA STILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
255 N 30TH ST, LARAMIE, WY 82072
(307) 742-2141
Mailing address
255 N 30TH ST, LARAMIE, WY 82072-5140
(307) 742-2141
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
94-08688
KS
207R00000X
Internal Medicine Physician
TL4374
WY
Other
Enumeration date
06/17/2015
Last updated
07/11/2018
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