Organization
RURAL SPINE CARE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HENRY FABIAN JR. MD (OWNER/PHYSICIAN)
(970) 819-0697
Entity
Organization
Contact information
Practice address
4401 COLLEGE DR, ROCK SPRINGS, WY 82901-3507
(970) 819-0697
Mailing address
4401 COLLEGE DR, ROCK SPRINGS, WY 82901-3507
(307) 352-8946
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
10140A
WY
Other
Enumeration date
05/03/2017
Last updated
02/19/2025
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