Individual
DR. ALBERT LOUIS STEPLOCK JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
805 E 2ND ST, STE 3, CASPER, WY 82601-2641
(307) 237-2300
(307) 237-1346
Mailing address
805 E 2ND ST, STE 3, CASPER, WY 82601-2641
(307) 237-2300
(307) 237-1346
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
3785A
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060046935
RAILROAD MEDICARE
WY
01
—
112889200
WYOMING MEDICAID
WY
05
—
112889200
—
WY
01
—
307514
BLUE SHIELD
WY
Enumeration date
05/27/2005
Last updated
12/01/2010
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